Arthur Kelly Conrad
Internal Medicine (Sleep Medicine)

Address: 2042 Ne Williamson Ct, St. Charles Sleep Center - Bend, Bend, OR 97701-3760
Phone: 5417066905

Arthur Kelly Conrad (NPI# 1962434191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962434191
Entity Type Individual
Full Name Arthur Kelly Conrad
Credential MD
Gender Male
Practice Address 2042 Ne Williamson Ct
St. Charles Sleep Center - Bend
Bend
OR 97701-3760
Practice Telephone 5417066905
Practice Fax Number 5413714580
Mailing Address Po Box 5579
Bend
OR 97708-5579
Mailing Fax Number 5417064580
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-07
Last Update Date 2012-11-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 174400000X Specialist Other Service Providers MD14553 OR
Yes 207RS0012X Internal Medicine · Sleep Medicine Allopathic & Osteopathic Physicians MD14553 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 142620 MEDICAID

Physician Overview

NPI 1962434191
PAC ID by PECOS 9032013214
Professional Enrollment ID I20040119000032
Full Name Arthur Kelly Conrad
Organization Legal Name ST CHARLES HEALTH SYSTEM INC
Phone Number 5417066905
Gender M
Credential MD
Medical School UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty SLEEP MEDICINE
Secondary Specialties INTERNAL MEDICINE, PULMONARY DISEASE
Group Practice PAC ID 8729111513
Number of Group Practice Members 146
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y
Participated in Million Hearts Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380047 ST CHARLES MEDICAL CENTER - BEND
380040 ST CHARLES MEDICAL CENTER - REDMOND

Office Location

Street Address 2042 NE WILLIAMSON CT
ST. CHARLES SLEEP CENTER - BEND
City BEND
State OR
Zip Code 97701-3760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111521 Stephanie R Scott Physician Assistant 2042 Ne Williamson Ct, Bend, OR 97701-3760 2005-08-15
1376075887 Norco, Inc Durable Medical Equipment & Medical Supplies 2042 Ne Williamson Ct, Bend, OR 97701-3760 2017-04-03
1063888329 Terry Dean Hollowell Nurse Practitioner 2042 Ne Williamson Ct, Bend, OR 97701-3760 2015-08-20
1255618955 Natalia Usatii Internal Medicine 2042 Ne Williamson Ct, Bend, OR 97701-3760 2011-11-08
1891099933 St. Charles Health System, Inc. Psychiatry & Neurology 2042 Ne Williamson Ct, Bend, OR 97701-3760 2011-01-04
1164675963 Cascade Healthcare Community Inc Clinic/Center 2042 Ne Williamson Ct, Bend, OR 97701-3760 2008-10-24
1023117751 St. Charles Health System, Inc. Durable Medical Equipment & Medical Supplies 2042 Ne Williamson Ct, Bend, OR 97701-3760 2006-09-21
1831177385 David L Dedrick Internal Medicine 2042 Ne Williamson Ct, St. Charles Sleep Center - Bend, Bend, OR 97701-3760 2006-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
1497126593 Alexis Jean Riva Barr Pharmacist St. Charles Health System, 2500 Ne Neff Rd., Bend, OR 97701 2015-10-14
1073997466 Natasha Chelle Delfiorentino Massage Therapist 1470 Ne 1st St., Ste #200, Bend, OR 97701 2015-07-15
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255618955 Natalia Usatii Internal Medicine 2042 Ne Williamson Ct, Bend, OR 97701-3760 2011-11-08
1831177385 David L Dedrick Internal Medicine 2042 Ne Williamson Ct, St. Charles Sleep Center - Bend, Bend, OR 97701-3760 2006-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740590272 Julio Roberto Noda Milla Internal Medicine 890 Oak St Se Ste 3060, Salem, OR 97301 2010-10-18
1154462257 Radhika Sekhri Breaden Internal Medicine 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 2007-02-09
1194770370 Daniel Bryan Root Internal Medicine 2228 Nw Pettygrove St, Portland, OR 97210-2608 2006-05-24
1043693864 Gerald B Rich Md PC Internal Medicine 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 2015-06-30
1528334604 Somnique Health PC Internal Medicine 9450 Sw Barnes Rd, Suite# 140, Portland, OR 97225-6619 2012-03-22
1578873097 Salem Sleep Medicine, PC Internal Medicine 925 Commercial St Se, Suite 102, Salem, OR 97302-4172 2010-10-18
1700088838 Curtis R Holzgang Internal Medicine 9205 Sw Barnes Rd, Suite 20, Portland, OR 97225-6603 2007-06-01
1669524864 Christian R Morales Perez Internal Medicine 3710 Sw Us Veterans Hospital Rd, Pulm 3, Portland, OR 97239-2964 2007-01-17
1366504532 David H Panossian Internal Medicine 2614 Almond St, Klamath Falls, OR 97601-1117 2006-12-14
1790875870 Linda M Tesman Internal Medicine 2614 Almond St, Klamath Falls, OR 97601-1117 2006-10-13
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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