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

John Christian Conrad Jr., PA

Individual provider Surgical Physician Assistant · NPI 1043582422

John Christian Conrad Jr., PA is a Physician Assistant in Roanoke, Virginia. Graduated from Jefferson Medical College of Thomas Jefferson University in 2011, 15 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4064 Postal Dr
Roanoke, VA 24018-6438
Phone: (540) 725-1226
Fax: (540) 857-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0110003758 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003758 (VA)

Record details

NPI number1043582422
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 1, 2012
Last updated in NPPESJanuary 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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