MR. DAVID A CONRAD (NPI# 1639403959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639403959 |
| Entity Type | Individual |
| Full Name | MR. DAVID A CONRAD |
| Credential | CRNP |
| Practice Address |
105 4th St East Berlin PA 17316-9638 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178124900 |
| Practice Fax Number | 7172597262 |
| Mailing Telephone | 7178124900 |
| Mailing Fax Number | 7172597262 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP010416 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD-WMG | 2136010 | 01 |
| PA | GATEWAY-WMG | 1586394 | 01 |
| MD | CAREFIRST MD BCBS | 956413 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546384 | David Conrad | Otolaryngology | 10 Union Sq. East, New York, NY 10003 | 2008-12-15 |
| 1801939285 | David Harry Conrad | Dentist | 3511 Main St, Hilliard, OH 43026-1319 | 2007-02-15 |
| 1730249962 | David Eugene Conrad | Hearing Instrument Specialist | 509 N Harbor City Blvd Ste A, Melbourne, FL 32935-6850 | 2006-12-11 |
| 1073148599 | David J Conrad Jr. | Physical Therapist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-03-04 |
| 1548419427 | David Jonathan Conrad | Anesthesiology | 1701 N Senate Blvd, Anesthesia Dept, Indianapolis, IN 46202-1239 | 2008-09-16 |
| 1356545396 | David N Conrad | Orthopaedic Surgery | 820 E Grant St, Thedacare Orthopedics Plus - Amc, Appleton, WI 54911-3483 | 2007-06-13 |
| 1366520629 | David Conrad | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-11-02 |
| Street Address |
105 4TH ST |
| City | EAST BERLIN |
| State | PA |
| Zip Code | 17316-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678656 | Tina L Hausner | Pharmacist | 105 4th St, East Berlin, PA 17316-9638 | 2005-09-07 |
| 1447815626 | Ashlee Grace Metzger | Physician Assistant | 105 4th St, East Berlin, PA 17316-9638 | 2019-05-03 |
| 1316420052 | Elizabeth Flohr | Nurse Practitioner | 105 4th St, East Berlin, PA 17316-9638 | 2018-09-10 |
| 1841713484 | Maria E Renteria | Nurse Practitioner | 105 4th St, East Berlin, PA 17316-9638 | 2017-07-25 |
| 1508210717 | Stephanie Jane Ellwood | Family Medicine | 105 4th St, East Berlin, PA 17316-9638 | 2016-04-14 |
| 1902164080 | Lauren Michelle Cashman | Family Medicine | 105 4th St, East Berlin, PA 17316-9638 | 2012-04-26 |
| 1508134784 | Matthew Staub | Specialist/Technologist | 105 4th St, East Berlin, PA 17316-9638 | 2011-12-02 |
| 1841582921 | Annie Melinda Harberger | Family Medicine | 105 4th St, East Berlin, PA 17316-9638 | 2011-05-09 |
| 1891085254 | Amanda Lindsay Keller-smith | Family Medicine | 105 4th St, East Berlin, PA 17316-9638 | 2011-04-19 |
| 1578895017 | Rachel Benelli Markey | Family Medicine | 105 4th St, East Berlin, PA 17316-9638 | 2010-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053558098 | Jose Acerimo Garcia | Family Medicine | 470 Bermudian Creek Road, East Berlin, PA 17316 | 2009-01-13 |
| 1114956018 | Catherine Booth Heilman | Family Medicine | 105 Fourth Street, East Berlin, PA 17316 | 2006-07-02 |
| 1417956244 | Northeast Adams Fire & Ems | Ambulance | 101 E Locust St, East Berlin, PA 17316 | 2005-07-14 |
| 1487171666 | Manotte Etienne | Nurse Practitioner | 312 Harrisburg St, East Berlin, PA 17316 | 2017-08-28 |
| 1508852120 | Choice Critical Care Rx LLC | Pharmacy | 330 North Ave, East Berlin, PA 17316-7831 | 2005-09-20 |
| 1538716824 | Amy Messinger | Registered Nurse | 295 Jessica Dr, East Berlin, PA 17316-8310 | 2019-08-21 |
| 1023264843 | Jason Brian Orlak | Hearing Instrument Specialist | 193 Kimberly Ln, East Berlin, PA 17316-8314 | 2008-08-12 |
| 1831161389 | Stanley Joseph Falenski | Pharmacist | 30 Primrose Ln, East Berlin, PA 17316-8505 | 2006-02-07 |
| 1619437951 | Joseph Zalakar | Pharmacist | 30 Primrose Ln, East Berlin, PA 17316-8505 | 2019-03-22 |
| 1033689450 | Olivia Hines | Pharmacist | 30 Primrose Ln, East Berlin, PA 17316-8505 | 2018-11-28 |
| Find all providers in zip 17316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558613125 | Philip James Walters | Nurse Practitioner | 5 Mcclellan Dr, East Berlin, PA 17316-9312 | 2012-10-08 |
| 1316420052 | Elizabeth Flohr | Nurse Practitioner | 105 4th St, East Berlin, PA 17316-9638 | 2018-09-10 |
| 1487171666 | Manotte Etienne | Nurse Practitioner | 312 Harrisburg St, East Berlin, PA 17316 | 2017-08-28 |
| 1841713484 | Maria E Renteria | Nurse Practitioner | 105 4th St, East Berlin, PA 17316-9638 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | EAST BERLIN |
| Zip Code | 17316 |
Please comment or provide details below to improve the information on MR. DAVID A 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.