MR. GARY D CONRAD (NPI# 1144288911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144288911 |
| Entity Type | Individual |
| Full Name | MR. GARY D CONRAD |
| Credential | M.D. |
| Practice Address |
2825 Parklawn Dr Midwest City OK 73110-4201 |
| Mailing Address |
5301 Sun Valley Dr Guthrie OK 73044-9562 |
| Practice Telephone | 4056104411 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2010-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 11784 | OK | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
11784 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11784 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100110920A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134161110 | Gary R Conrad | Radiology | 800 Rose St, Hx318, Lexington, KY 40536-0293 | 2006-06-12 |
| 1669424271 | Gary Conrad | Internal Medicine | 625 S Fair Oaks Ave, Suite 215, Pasadena, CA 91105-2613 | 2006-05-16 |
| Street Address |
2825 PARKLAWN DR |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217464 | Peter George Wipfli | Nurse Anesthetist, Certified Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2005-10-03 |
| 1801413182 | Chantal Ianthe Horner | Nurse's Aide | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2020-07-02 |
| 1053962472 | Brittany Elaine King | Nurse Practitioner | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-09-26 |
| 1699324350 | Olusegun Osundele | Nurse Anesthetist, Certified Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-09-05 |
| 1407417447 | Kristi Adkins | Registered Nurse | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-06-20 |
| 1922561414 | Gary Troy Wright | Nurse Anesthetist, Certified Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-04-10 |
| 1780158568 | Brittany Lynn Burk | Dietitian, Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-01-15 |
| 1255805321 | Olivia Rhae Mayer | Dietitian, Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2019-01-11 |
| 1568933349 | Ashley Diane Mcmains | Nurse Practitioner | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2018-12-05 |
| 1376011478 | Midwest Hospitalist Group Pllc | Internal Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548365117 | Carl N. Griffin | Emergency Medicine | 6908 E Reno Ave, Midwest City, OK 73110-2128 | 2006-09-14 |
| 1215995089 | Joel W Anderson | Emergency Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-05-02 |
| 1235197005 | John P Clemons | Emergency Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1578512596 | Medhat S.f. Michael | Emergency Medicine | 1265 E 33rd St, Edmond, OK 73013-6307 | 2006-05-08 |
| 1639137409 | Jerry C Childs Jr. | Emergency Medicine | 1520 Morning Star, Edmond, OK 73034-6579 | 2006-05-02 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
| 1518947100 | Elizabeth S Monnot | Emergency Medicine | 503 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2006-01-19 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on MR. GARY D CONRAD.
| 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.