DR. WILLIAM R CONDOS JR. (NPI# 1013910801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013910801 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM R CONDOS JR. |
| Credential | M.D. |
| Practice Address |
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990 |
| Practice Telephone | 3374943278 |
| Practice Fax Number | 3374943240 |
| Mailing Telephone | 3374943278 |
| Mailing Fax Number | 3374943240 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
08677R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1915823 | 05 |
| Street Address |
1717 OAK PARK BLVD FL 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467821629 | Courtney Clark | Nurse Practitioner | 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 | 2015-09-17 |
| 1568845899 | Kathy Parker Woodward | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-07-06 |
| 1356730303 | Rikki Monticello | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-01-14 |
| 1831507961 | Rebecca Kindler | Optometrist | 1717 Oak Park Blvd, Ste 1, Lake Charles, LA 70601-8991 | 2014-08-01 |
| 1588007249 | Martin Daniel Castillo | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Fl, Lake Charles, LA 70601-8991 | 2013-04-12 |
| 1043553522 | Amanda Joiner Saltzman | Pharmacist | 1717 Oak Park Blvd, Suite 110, Lake Charles, LA 70601-8991 | 2013-04-03 |
| 1932450210 | Keysha Raye Nabours | Nurse Practitioner | 1717 Oak Park Blvd, 2nd Fl, Lake Charles, LA 70601-8991 | 2012-09-26 |
| 1063778504 | Margaret Young Carter | Ophthalmology | 1717 Oak Park Blvd, #1, Lake Charles, LA 70601-8991 | 2012-04-10 |
| 1598052052 | Ted Etell Fontenot | Nurse Practitioner | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2011-07-06 |
| 1215161922 | Lcms Rehabilitation Institute of Southwest Louisiana | Internal Medicine | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174659668 | Jake Thomas Lebeau | Internal Medicine | 501 Michael Debakey Drive, Lake Charles, LA 70601-5724 | 2007-02-26 |
| 1720550080 | Imperial Health, LLP | Internal Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607-8672 | 2018-12-27 |
| 1558602235 | Imperial Health LLP | Internal Medicine | 4150 Nelson Rd, Building G Suite 3, Lake Charles, LA 70605-4148 | 2013-03-06 |
| 1790038842 | Imperial Health LLP | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-10-25 |
| 1669693867 | Corey G Foster | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2007-05-02 |
| 1942373980 | Charles Boyd Woodard | Internal Medicine | 2800 1st Ave, Suite C, Lake Charles, LA 70601-8884 | 2006-11-16 |
| 1811060866 | Lake Charles Medical Services, Inc | Internal Medicine | 2800 1st Ave, Suite C, Lake Charles, LA 70601-8884 | 2006-11-16 |
| 1114018819 | John M Winterton | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-27 |
| 1003913070 | Jean King White | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-20 |
| 1225135478 | Christopher S Thompson | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| 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.