CHERYL CONRAD (NPI# 1245267095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245267095 |
| Entity Type | Individual |
| Full Name | CHERYL CONRAD |
| Credential | N.P. |
| Practice Address |
101 Med Tech Pkwy Suite 200 Johnson City TN 37604-4007 |
| Mailing Address |
149 Cochran Rd Jonesborough TN 37659-6454 |
| Practice Telephone | 4232326120 |
| Mailing Telephone | 4232326120 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0000008007 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | JOHN DEERE HEALTHCARE | TN0130 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 4122083 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647303 | Cheryl Angeline Conrad | Nurse Practitioner | 200 Hawkins Dr, Pediatric Allergy Pulmonary Clinic, Iowa City, IA 52242-1009 | 2007-12-28 |
| 1922032747 | Cheryl L Conrad | Pharmacist | 1550 Empire Blvd, Webster, NY 14580-2104 | 2006-07-10 |
| 1073587630 | Cheryl R Conrad | Physical Therapist | 1920 Greenspring Dr, Suite 100, Timonium, MD 21093-4112 | 2006-02-13 |
| Street Address |
101 MED TECH PKWY SUITE 200 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830536 | Fernando Bendfeldt | Psychiatry & Neurology | 101 Med Tech Pkwy, Ste 407, Johnson City, TN 37604-4000 | 2005-05-23 |
| 1558669986 | Caitlen M Petschke | Physician Assistant | 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 | 2011-03-09 |
| 1023319290 | John Argerson | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2010-11-04 |
| 1962655696 | Pain Medicine Associates, P.C. | Psychologist | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2008-10-28 |
| 1679722052 | Michael M Wilkinson | Anesthesiology | 101 Med Tech Pkwy, Johnson City, TN 37604-4007 | 2008-09-10 |
| 1548422355 | Pma Surgery Center LLC | Psychologist | 101 Med Tech Pkwy, Suite 205, Johnson City, TN 37604-4007 | 2008-07-02 |
| 1942475439 | Tri Cities Esthetics, Inc. | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2008-04-25 |
| 1821158031 | Alison Repass Herrig | Nurse Practitioner | 101 Med Tech Pkwy, Suite 405, Johnson City, TN 37604-4007 | 2006-12-11 |
| 1053496901 | Mountain States Health Alliance | Durable Medical Equipment & Medical Supplies | 101 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-4007 | 2006-10-26 |
| 1417031071 | Smokie Mountain Dialysis Inc. | Clinic/Center | 101 Med Tech Pkwy, Suite 406, Johnson City, TN 37604-4007 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504294 | Sheng Tchou | Physical Medicine & Rehabilitation | 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 | 2005-11-07 |
| 1821025222 | Benjamin Meeks | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-28 |
| 1134164205 | Holly Broadwater | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-20 |
| 1699710004 | Shannon Hollowell | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-19 |
| 1477594364 | Pain Medicine Associates, P.C. | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616915 | Isaac Spine, Joint & Pain Institute | Physical Medicine & Rehabilitation | 2004 Hayes St Ste 655, Nashville, TN 37203-2646 | 2020-04-01 |
| 1558880286 | Healthcare Resources Management LLC | Physical Medicine & Rehabilitation | 74 Lebanon Hwy, Carthage, TN 37030-2954 | 2017-09-13 |
| 1245606110 | Lauren Frommert | Physical Medicine & Rehabilitation | 419 Steam Plant Rd, Gallatin, TN 37066-3027 | 2015-08-14 |
| 1073855573 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 1608 Williams Dr Ste 300, Murfreesboro, TN 37129-3195 | 2013-03-22 |
| 1033386941 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 393 Wallace Rd Ste A204, Nashville, TN 37211-4983 | 2008-05-09 |
| 1225214307 | Elmer G. Pinzon | Physical Medicine & Rehabilitation | 110 Center Park Dr, Ste 102 & 103, Knoxville, TN 37922-2114 | 2008-01-18 |
| 1104837327 | Thomas Scott Baker | Physical Medicine & Rehabilitation | 1423 W Baddour Pkwy, Lebanon, TN 37087-3061 | 2006-08-11 |
| 1720541402 | Tennessee Integrative Pain Institute Plc | Physical Medicine & Rehabilitation | 5073 Main St Ste 200, Spring Hill, TN 37174-2738 | 2019-04-10 |
| 1083154819 | Interventional Pain Center, Pllc | Physical Medicine & Rehabilitation | 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 | 2017-02-27 |
| 1033653373 | Woosley Medical Rehab and Wellness | Physical Medicine & Rehabilitation | 913 Conference Dr, Suite 103, Goodlettsville, TN 37072-1991 | 2016-12-06 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.