MR. CONRAD GOLD (NPI# 1104397041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104397041 |
| Entity Type | Individual |
| Full Name | MR. CONRAD GOLD |
| Credential | MA, CCC-SLP |
| Practice Address |
1500 Spring Street Petoskey MI 49770-3125 |
| Mailing Address |
1004 Waukazoo Ave Petoskey MI 49770-3125 |
| Practice Telephone | 2313471678 |
| Mailing Telephone | 2313489148 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
1500 SPRING STREET |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130866 | Michelle Baumgartner | Speech-Language Pathologist | 3121 Greenfield Dr, Petoskey, MI 49770-9713 | 2019-02-13 |
| 1336679398 | Nancy Lynn Lyons | Speech-Language Pathologist | 617 Lockwood Ave, Petoskey, MI 49770-2770 | 2017-06-13 |
| 1114225562 | Rebecca Nielsen Tanis | Speech-Language Pathologist | 704 E Lake St, Petoskey, MI 49770-2525 | 2011-03-09 |
| 1902047517 | Elizabeth Diane La Framboise | Speech-Language Pathologist | 347 Creekside Dr, Petoskey, MI 49770-8676 | 2009-03-11 |
| 1891259487 | Taylor Joelle Moore | Speech-Language Pathologist | 347 Creekside Dr, Petoskey, MI 49770-8676 | 2019-01-28 |
| 1770021149 | Ryan Miceli | Speech-Language Pathologist | 2206 Mitchell Park Dr, Suite 14, Petoskey, MI 49770-8674 | 2017-02-06 |
| 1306246475 | Clarissa Martin | Speech-Language Pathologist | 2206 Mitchell Park Dr, Unit 14, Petoskey, MI 49770-8674 | 2014-08-26 |
| 1083053326 | The Abby D Center, Inc. | Speech-Language Pathologist | 2206 Mitchell Park Dr, Suite 14, Petoskey, MI 49770-8674 | 2013-06-20 |
| 1366889149 | Kathryn Ann Lavoie | Speech-Language Pathologist | 347 Creekside Dr, Petoskey, MI 49770-8676 | 2013-06-03 |
| 1407090582 | Tamara Lee Wyman | Speech-Language Pathologist | 2206 Mitchell Park Dr, Unit 14, Petoskey, MI 49770-8674 | 2009-04-21 |
| Find all providers in PETOSKEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.