Christina Marie Conrad

D.O. | Pediatric Emergency Medicine | Female

---

Complete Profile:

Christina Marie Conrad basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Christina Marie Conrad
Other Name :	Christina Marie Keasey
Credential :	D.O.
Gender :	Female

Business Address:

Christina Marie Conrad address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1919 E Thomas Rd Phoenix, AZ, 85016-7710 United States
Phone Number :	602-933-1900
Fax Number :	602-933-1918

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1366678534
NPI Entity Type :	Individual
First Enrolment Date :	02 Jun, 2009
Last Updated On :	22 Feb, 2022

Medicare Participation:

Christina Marie Conrad participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1850549494
Medicare Enrollment ID :	I20120924000586
Primary Specialty :	Pediatric Medicine
Medical School :	Des Moines University Of Osteopathic Medicine And Health Sciences
Graduation Year :	2009
Accepts Medicare?	Yes. Christina Marie Conrad accepts medicare insurance.

Group Practice Association:

Christina Marie Conrad is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Christina Marie Conrad is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Phoenix Children's Hospital	0446278584	278	1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christina Marie Conrad are as mentioned. Primary taxonomy code for Christina Marie Conrad, D.O. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	005902	AZ
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	005902	AZ

Legacy Identifiers:

Other legacy medical identifiers of Christina Marie Conrad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
717686	MEDICAID	AZ

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3200 E Camelback Rd Ste 250 Phoenix, AZ, 85018-2327 United States
Phone Number :	602-933-1814

Business Location:

Patients can refer following map for directions to Christina Marie Conrad practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.