CONRAD JOHN KELLEHER (NPI# 1225252851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225252851 |
| Entity Type | Individual |
| Full Name | CONRAD JOHN KELLEHER |
| Practice Address |
9471 Clarmonte Drive St John IN 46373-9699 |
| Practice Telephone | 2193657676 |
| Mailing Telephone | 2193657676 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
9471 CLARMONTE DRIVE |
| City | ST JOHN |
| State | IN |
| Zip Code | 46373-9699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676024 | Kristine Willoughby | Private Vehicle | 505 S 25th St, South Bend, IN 46615-2117 | 2020-03-29 |
| 1922648385 | Next Journey Homecare LLC | Private Vehicle | 708 Georgia St, Gary, IN 46402-2613 | 2020-01-13 |
| 1467003095 | Connected Residential Consulting LLC | Private Vehicle | 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 | 2019-09-25 |
| 1376004812 | Kellen Mclaughlin | Private Vehicle | 715 Hollywood Ct, Whiting, IN 46394-1829 | 2019-03-27 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1023586245 | Erica Lucretia Fowler | Private Vehicle | 1317 W Delaware St, Evansville, IN 47710-1435 | 2018-11-06 |
| 1033621271 | Julie Mcgill | Private Vehicle | 3105 Beacon St, Fort Wayne, IN 46805-2447 | 2017-10-27 |
| 1902316870 | Transfiguration Enterprises, LLC | Private Vehicle | 608 E 22nd St, Indianapolis, IN 46202-1632 | 2017-10-05 |
| 1790223253 | Jsr Transportation | Private Vehicle | 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 | 2017-02-05 |
| 1841732997 | Megan Clark | Private Vehicle | 224 N East St, Lebanon, IN 46052-2224 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONRAD JOHN KELLEHER.
| 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.