Darryl Patrick Conway, ATC
Specialist/Technologist, Athletic Trainer in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1477547792
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1477547792
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darryl Patrick Conway
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Last updated
- Mar 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1000 S State StAnn Arbor, MI 48109-2201
Phone 734-619-9337
Mailing address
5106 Chatsworth StDundee, MI 48131-9401
Phone 734-619-9337
Other practice locations
Terrapin Trail
Gossett Football Team House
College Park, MD 20742-0001
Gossett Football Team House
College Park, MD 20742-0001
Phone 301-314-2663 · Fax 301-314-6549
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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