Edgar M Conrad IV, LLC
NPI 1336309228ActiveOrganization· Internal Medicine· Joplin, MO
Internal Medicine in Joplin, Missouri, registered in NPPES in June 2008. The authorized official on file is Edgar M. Conrad, DO, Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336309228 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2008 |
| Last updated in NPPES | Aug 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 107748 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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