Adam Conilogue (NPI# 1932435153, PAC ID# 9739354259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1932435153 |
| PAC ID by PECOS | 9739354259 |
| Professional Enrollment ID | I20111213000121 |
| Full Name | Adam Conilogue |
| Organization Legal Name | CONILOGUE PT LLC |
| Address |
1401 S Main St 104 Fairfield Universal Therapy Fairfield IA 52556-3771 |
| Phone Number | 6412091446 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7416297312 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1401 S Main St, 104 Fairfield Universal Therapy, Fairfield, IA 52556-3771 | 6412091446 | CONILOGUE PT LLC |
| Organization Legal Name | CONILOGUE PT LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Conilogue | Physical Therapy | Conilogue Pt LLC | 1401 S Main St, 104 Fairfield Universal Therapy, Fairfield, IA 52556-3771 |
| Street Address |
1401 S MAIN ST 104 FAIRFIELD UNIVERSAL THERAPY |
| City | FAIRFIELD |
| State | IA |
| Zip | 52556-3771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Campbell | Ophthalmology | Frank Eye Center, P.a. | 1401 S Main St, Ottawa, KS 66067-3528 |
| Ivan R Batlle | Ophthalmology | Retina Associates Pa | 1401 S Main St, Ottawa, KS 66067-3528 |
| Julie Lynn Oberly | Internal Medicine | 1401 S Main St, Suite 101, North Canton, OH 44720-4289 | |
| Dana Conilogue | Physical Therapy | Conilogue Pt LLC | 1401 S Main St, 104 Fairfield Universal Therapy, Fairfield, IA 52556-3771 |
| Chad S Mies | Optometry | Frank Eye Center, P.a. | 1401 S Main St, Ottawa, KS 66067-3528 |
| David S Dyer | Ophthalmology | Retina Associates Pa | 1401 S Main St, Ottawa, KS 66067-3528 |
| Kenneth J Frank | Ophthalmology | Frank Eye Center, P.a. | 1401 S Main St, Ottawa, KS 66067-3528 |
| Ryan D Christensen | Ophthalmology | Retina Associates Pa | 1401 S Main St, Ottawa, KS 66067-3528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah S Pogel | Clinical Social Worker | 414 N 3rd St, Suite 6, Fairfield, IA 52556-2466 | |
| Rebecca J Schmitz | Clinical Social Worker | 200 W Lowe Ave, Suite 108, Fairfield, IA 52556-2470 | |
| David J Seagull | Clinical Social Worker | 500 N 3rd St, 208d Therapy Office Katie Ram, Fairfield, IA 52556-2483 | |
| Eilene M Swartz | Nurse Practitioner | 2709 W Briggs, Suite 1, Fairfield, IA 52556-2649 | |
| Christine E England | Clinical Social Worker | 2709 W Briggs Ave, Suite 4, Fairfield, IA 52556-2649 | |
| Randall A Liebe | Optometry | 122 N Court St, Fairfield, IA 52556-2815 | |
| Christopher P Meador | Chiropractic | 1100 W Burlington Ave, Suite 3, Fairfield, IA 52556-2858 | |
| Richard A Rose | Podiatry | 202 E Briggs Ave, Fairfield, IA 52556-2925 | |
| James T Farkas | Chiropractic | 112 W Broadway Ave, Fairfield, IA 52556-3216 | |
| John Edgette | Clinical Psychologist | 121 W Broadway Ave, Suite 11, Fairfield, IA 52556-3217 | |
| Find all physicians in zip 52556 | |||
| City | FAIRFIELD |
| Zip Code | 52556 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRFIELD + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.