Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Conrad Dizon Ballecer III, MD

Individual provider Surgery Physician · NPI 1689871188

Dr. Conrad Dizon Ballecer III, MD is a General Surgery in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Sjhmc Physician Services, a 665-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 37738 (AZ)

Record details

NPI number1689871188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2007
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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