JEFFREY LANE CONRAD (NPI# 1447768932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447768932 |
| Entity Type | Individual |
| Full Name | JEFFREY LANE CONRAD |
| Practice Address |
360 E Enon Rd Yellow Springs OH 45387-1415 |
| Practice Telephone | 9377671303 |
| Practice Fax Number | 9377671025 |
| Mailing Telephone | 9377671303 |
| Mailing Fax Number | 9377671025 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.0500644 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720046600 | Jeffrey Mark Conrad | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2006-05-02 |
| Street Address |
360 E ENON RD |
| City | YELLOW SPRINGS |
| State | OH |
| Zip Code | 45387-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760400923 | Patricia Gerrior | Speech-Language Pathologist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2006-07-17 |
| 1326652033 | Joyce Ann Smith | Speech-Language Pathologist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2020-09-01 |
| 1740892520 | Ellen Mchugh | Occupational Therapist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2020-08-21 |
| 1871103606 | Audrey Shirk | Social Worker | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2020-08-06 |
| 1134606296 | Brandee Guice | Occupational Therapist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2018-07-22 |
| 1083112007 | Peggy Roesser | Social Worker | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2018-01-24 |
| 1447758461 | Laura Rozier | Social Worker | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2018-01-24 |
| 1538667555 | Megan Kilner | Social Worker | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2018-01-24 |
| 1437657459 | Chris Knotts | Social Worker | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2018-01-24 |
| 1447795943 | Danielle Brodnick | Speech-Language Pathologist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2016-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376081604 | Bridget Petri | Counselor | 1575 Xenia Ave., Yellow Springs, OH 45387 | 2017-02-07 |
| 1891003844 | Jenna Lyne Cain | Contractor | 360 E. Enon Rd, Yellow Springs, OH 45387 | 2010-09-23 |
| 1134392798 | Pamela Jane Kraft | Nurse Practitioner | 888 Dayton St Ste 200, Yellow Springs, OH 45387 | 2008-04-03 |
| 1891885885 | Yiping Nmi Fang | Dentist | 1496 Southgate Avenue, Yellow Springs, OH 45387 | 2006-10-13 |
| 1881651933 | Erika Coleman Grushon | Chiropractor | 233 Corry St, Yellow Springs, OH 45387 | 2006-05-01 |
| 1679539498 | Jeffery B Blackburn | Family Medicine | 1001 Xenia Ave, Yellow Springs, OH 45387 | 2006-04-21 |
| 1477550762 | Pamela Wagner Vonmatthiessen | Internal Medicine | 1234 Livermore Street, Yellow Springs, OH 45387 | 2005-07-01 |
| 1164902151 | Melody Joy Ramsay | Counselor | 1525 Xenia Ave, Yellow Springs, OH 45387 | 2018-08-19 |
| 1578089728 | Tracy Hunt | Counselor | 100 Corry St, Yellow Springs, OH 45387 | 2017-08-19 |
| 1023366697 | Janice M Blandford | Pharmacist | 263 Xenia Ave, Yellow Springs, OH 45387 | 2012-08-29 |
| Find all providers in zip 45387 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881730869 | Matthew G West | Counselor | 416 Xenia Avenue, Yellow Springs, OH 45387-1836 | 2007-01-29 |
| 1225078306 | Cynthia A Shaw | Counselor | 105 W North College St, Yellow Springs, OH 45387-1500 | 2006-06-07 |
| 1558720037 | Dawn M Gruber | Counselor | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2016-02-12 |
| 1346609997 | Jennifer Jo Mills | Counselor | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2016-02-10 |
| 1083072847 | Julie Mitchell | Counselor | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2016-02-08 |
| 1962788869 | Kimberly-ann Norwood | Counselor | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2011-10-24 |
| 1285832022 | Bruce Edward Heckman | Counselor | 416 Xenia Ave, Yellow Springs, OH 45387-1836 | 2007-07-03 |
| 1770608390 | Joan Chappelle | Counselor | 105 W North College St, Yellow Springs, OH 45387-1500 | 2007-03-20 |
| 1528073061 | Joyce L Appell | Counselor | 416 Xenia Ave, Yellow Springs, OH 45387-1836 | 2006-07-31 |
| 1881614816 | James J Kane | Counselor | 416 Xenia Ave, Yellow Springs, OH 45387-1836 | 2006-07-20 |
| Find all providers in YELLOW SPRINGS | ||||
| City | YELLOW SPRINGS |
| Zip Code | 45387 |
Please comment or provide details below to improve the information on JEFFREY LANE 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.