DR. GEORGE THOMAS CONRAD (NPI# 1245223858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245223858 |
| Entity Type | Individual |
| Full Name | DR. GEORGE THOMAS CONRAD |
| Credential | M.D. |
| Practice Address |
1015 W Washbourne St Jay OK 74346-4205 |
| Practice Telephone | 9182534271 |
| Practice Fax Number | 9182532531 |
| Mailing Telephone | 9182534271 |
| Mailing Fax Number | 9182532531 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18331 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE | 18331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115692 | George T Conrad | Surgery | 8630 Fenton St Ste 122, Silver Spring, MD 20910-3803 | 2005-12-19 |
| Street Address |
1015 W WASHBOURNE ST |
| City | JAY |
| State | OK |
| Zip Code | 74346-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545512 | Casey Darrell Merciez | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-07-22 |
| 1316562762 | Savannah Dawn Belden | Peer Specialist | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-06-11 |
| 1386263218 | Jacqueline M Payerli | Social Worker | 1015 W Washbourne St, Jay, OK 74346 | 2020-04-10 |
| 1457988008 | Patricia A Wiese | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-24 |
| 1164057584 | Stacey Lane | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-03-05 |
| 1295368660 | Michelle Kay Turner | Case Manager/Care Coordinator | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-02-13 |
| 1689206922 | Grand Lake Mental Health Center Inc | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-02-05 |
| 1578103206 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2020-01-10 |
| 1255979415 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1015 W Washbourne St, Jay, OK 74346-4205 | 2019-12-18 |
| 1619448263 | Shemaiah Davis | Counselor | 1015 W Washbourne St, Jay, OK 74346-4205 | 2018-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859261 | Kathy Jo Jones | Clinic/Center | 34404 S 625 Rd, Jay, OK 74346 | 2020-07-27 |
| 1174147847 | Cory H Carroll | Pharmacist | 38776 St Hwy 127, Jay, OK 74346 | 2020-05-29 |
| 1629602362 | Alexis Noelle Gibe | Case Manager/Care Coordinator | 1015 W Washbourne, Jay, OK 74346 | 2020-03-02 |
| 1659933430 | Team Clinic Management Partners LLC | Clinic/Center | 333 E Dial St, Jay, OK 74346 | 2019-07-02 |
| 1083276869 | Team Clinic Management Partners LLC | Clinic/Center | 386 E Monroe Ave, Jay, OK 74346 | 2019-07-02 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1619476686 | Curtis J Atterbury | Physician Assistant | 55731 W 345 Rd, Jay, OK 74346 | 2018-02-06 |
| 1972037950 | Vivian Martin | Physical Therapist | 432 South 9th, Jay, OK 74346 | 2017-04-17 |
| 1407389653 | Chelcci Stapleton | Speech-Language Pathologist | 432 S. 9th St, Jay, OK 74346 | 2017-04-05 |
| 1104361096 | Cheryl Gonzalis | Licensed Practical Nurse | 859 E Melton Dr., Jay, OK 74346 | 2016-12-30 |
| Find all providers in zip 74346 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265561385 | Mease Medical Corporation | Family Medicine | 659 S 14th Street, Jay, OK 74346 | 2007-03-05 |
| 1366589608 | Richard H Tidwell Md Pllc | Family Medicine | 2485 N Main Street, Jay, OK 74346-0987 | 2007-01-30 |
| 1346208725 | Richard H Tidwell | Family Medicine | 2485 N Main St, Jay, OK 74346-0987 | 2006-05-03 |
| 1497710313 | John-stewart Michael Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2006-04-20 |
| 1952377442 | Darrell Robert Mease | Family Medicine | 659 S. 14th St., Bldg. B, Jay, OK 74346 | 2006-02-24 |
| 1770565863 | Delores Maye Burroughs-biron | Family Medicine | 590 Gendron Rd, Jay, VT 05859-9732 | 2005-11-15 |
| 1477559409 | Mark James Elder | Family Medicine | 3887 Scotts Plaza Dr, Jay, FL 32565-4001 | 2005-06-23 |
| 1144651209 | Mark J Elder Do Pa | Family Medicine | 3887 Scotts Plaza Dr, Jay, FL 32565-4001 | 2013-11-27 |
| 1497014161 | J S Michael Smith Md Pa | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
| 1649566720 | Deirdre Ann Mcauley | Family Medicine | 1015 W Washbourne St, Jay, OK 74346-4205 | 2011-06-27 |
| Find all providers in JAY | ||||
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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.