DANIEL J CONRAD (NPI# 1730177700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730177700 |
| Entity Type | Individual |
| Full Name | DANIEL J CONRAD |
| Credential | MD |
| Practice Address |
Highway 191 and Hospital Road Chinle AZ 86503 |
| Mailing Address |
Po Box Ph Chinle AZ 86503-8000 |
| Practice Telephone | 9286747050 |
| Practice Fax Number | 9286747600 |
| Mailing Telephone | 9286747050 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
56064 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01027750A | IN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
15244 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2703382 | 05 | |
| US DEA | BC3615284 | 01 | |
| AZ | 244939 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679633002 | Daniel Conrad | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-08 |
| 1689630584 | Daniel Scotland Conrad | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2006-04-21 |
| 1366425191 | Daniel Paul Conrad | Anesthesiology | 2173a Centerville Pl, Tallahassee, FL 32308-4356 | 2005-11-25 |
| Street Address |
HIGHWAY 191 AND HOSPITAL ROAD |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787810 | Michael Joseph Maccaro | Dentist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2005-06-01 |
| 1639611692 | Christine Mcdannald | Psychologist | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2016-11-08 |
| 1497206072 | Lizzette Enriquez-lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1043761620 | Ruben Rodriquez Lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1902356785 | Jenna Rae Carlson | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-05 |
| 1881047835 | Michael Mcconnell | Psychologist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-07-14 |
| 1932564929 | Alison Starling | Midwife | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2015-12-18 |
| 1114301421 | Mcqueen Suen | Podiatrist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2015-07-16 |
| 1295153773 | Elizabeth Quinn Ziatyk | Internal Medicine | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2014-04-02 |
| 1003233990 | Amanda Gelman | Internal Medicine | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2014-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1316160476 | Patricia M Tagle Levy | Psychiatry & Neurology | 7510 E First St, Scottsdale, AZ 85251 | 2007-04-10 |
| 1588784821 | Shelley Lee Everly | Psychiatry & Neurology | 519 N. Leroux Street, Flagstaff, AZ 86001 | 2007-03-30 |
| Find all providers with the same taxonomy | ||||
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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.