DR. DONALD J KONRAD (NPI# 1306836077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306836077 |
| Entity Type | Individual |
| Full Name | DR. DONALD J KONRAD |
| Credential | D.O. |
| Practice Address |
1224 8th St Rupert ID 83350-1527 |
| Practice Telephone | 2084365266 |
| Practice Fax Number | 2084348675 |
| Mailing Telephone | 2084365266 |
| Mailing Fax Number | 2084348675 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O154 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUESHIELD | 10001772 | 01 |
| ID | BLUE CROSS | S1543 | 01 |
| ID | M0014062 | 05 |
| Street Address |
1224 8TH ST |
| City | RUPERT |
| State | ID |
| Zip Code | 83350-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215432984 | Rachel D Durrant | Speech-Language Pathologist | 1224 8th St, Rupert, ID 83350-1527 | 2018-03-26 |
| 1972763381 | Benjamin Guercio | Nurse Anesthetist, Certified Registered | 1224 8th St, Rupert, ID 83350-1527 | 2008-06-10 |
| 1073787784 | Minidoka Memorial Hospital Crna Group | Nurse Anesthetist, Certified Registered | 1224 8th St, Rupert, ID 83350-1527 | 2008-04-15 |
| 1225202922 | Minidoka Memorial Hospital Ambulance | Ambulance | 1224 8th St, Rupert, ID 83350-1527 | 2008-04-15 |
| 1134333495 | Minidoka Memorial Hospital | Clinic/Center | 1224 8th St, Rupert, ID 83350-1527 | 2007-05-09 |
| 1942364070 | Minidoka Memorial Hospital | Pharmacy | 1224 8th St, Rupert, ID 83350-1527 | 2006-12-21 |
| 1669578472 | Lori Johnson | Dietitian, Registered | 1224 8th St, Rupert, ID 83350-1527 | 2006-09-16 |
| 1205855202 | Jeffery D. Baldwin | Physical Therapist | 1224 8th St, Suite A, Rupert, ID 83350-1527 | 2006-07-19 |
| 1730104597 | Maria E. Hernandez | Physical Therapist | 1224 8th St, Suite A, Rupert, ID 83350-1527 | 2006-07-13 |
| 1023052040 | Minidoka Memorial Hospital | Skilled Nursing Facility | 1224 8th St, Rupert, ID 83350-1527 | 2006-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349515 | Robbie Joe Carroll | Registered Nurse | 1024 8th Street, Family Health Services, Rupert, ID 83350 | 2015-02-26 |
| 1285921643 | Duane Broderick | Counselor | 2311 Parke Ave., Ste. 8, Burley, ID 83350 | 2011-07-06 |
| 1598798282 | Kerry W Saurey | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
| 1093761694 | Family Health Services Corporation | Dental Hygienist | 402 6th St, Rupert, ID 83350 | 2006-05-25 |
| 1376531004 | Jeffrey Scott Swenson | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2005-10-06 |
| 1205312774 | Shawna M Mccaffrey | Nurse Practitioner | 1308 8th St, Rupert, ID 83350 | 2018-07-17 |
| 1386872810 | Brian R Muir | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2009-06-23 |
| 1083816334 | Cameron Mchan | Nurse Practitioner | 1308 8th St Ste 1, Rupert, ID 83350 | 2007-05-31 |
| 1134225956 | Margo Saunders | Specialist | 1308 8th St Ste 1, Rupert, ID 83350 | 2006-09-16 |
| 1619900305 | Don C Pates | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
| Find all providers in zip 83350 | ||||
| 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 |
|---|---|---|---|---|
| 1215191390 | Swenson M.d. Inc. | Family Medicine | 1218 9th St Ste 4, Rupert, ID 83350-2207 | 2008-07-17 |
| 1982786232 | Rupert Medical Center Partnership | Family Medicine | 1218 9th St Ste 7, Rupert, ID 83350-2207 | 2006-10-19 |
| 1518970243 | Alleghany Medical Services PC | Family Medicine | 1109 Greenbier St, Rupert, WV 25984 | 2006-08-14 |
| 1598798282 | Kerry W Saurey | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
| 1376531004 | Jeffrey Scott Swenson | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2005-10-06 |
| 1578550547 | Janet King | Family Medicine | 1024 8th St, Rupert, ID 83350-1306 | 2005-10-04 |
| 1386872810 | Brian R Muir | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2009-06-23 |
| 1437350774 | Dawn Jennings-peterson | Family Medicine | 402 6th St, Rupert, ID 83350-1619 | 2007-05-31 |
| 1619900305 | Don C Pates | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
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| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
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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.