DR. ERIC F. KONDRO (NPI# 1336124023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336124023 |
| Entity Type | Individual |
| Full Name | DR. ERIC F. KONDRO |
| Credential | M.D. |
| Practice Address |
111 W Bates St Wellsville MO 63384-1616 |
| Practice Telephone | 5736842208 |
| Practice Fax Number | 5736843277 |
| Mailing Telephone | 5736842208 |
| Mailing Fax Number | 5736843277 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 109389 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208113605 | 05 |
| Street Address |
111 W BATES ST |
| City | WELLSVILLE |
| State | MO |
| Zip Code | 63384-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942510102 | Carolyn Sue Canterbury | Nurse Practitioner | 111 W Bates St, Wellsville, MO 63384-1616 | 2010-10-20 |
| 1669598710 | Cathy A. Hartle | Nurse Practitioner | 111 W Bates St, Wellsville, MO 63384-1616 | 2007-03-21 |
| 1942219266 | Ssm Audrain Health Care, Inc. | Family Medicine | 111 W Bates St, Wellsville, MO 63384-1616 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821262478 | School District R 1 | Physical Therapist | 900 Burlington St, Wellsville, MO 63384-1114 | 2008-04-15 |
| 1598716029 | Ggnsc Wellsville LLC | Skilled Nursing Facility | 250 E Locust St, Wellsville, MO 63384-1422 | 2006-05-12 |
| 1487109633 | N & R of Wellsville LLC | Skilled Nursing Facility | 250 E Locust St, Wellsville, MO 63384-1422 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844992 | Sadie R Cole | Registered Nurse | 4220 Route 417 West, Wellsville, NY 14895 | 2020-09-01 |
| 1295370211 | Jennifer Lynn Mays | Registered Nurse | 40173 State Route 39, Wellsville, OH 43968-9782 | 2019-11-13 |
| 1376102558 | Theresa L. Golish | Home Health Aide | 125 South Broad St., Wellsville, NY 14895 | 2019-06-11 |
| 1144885138 | Melissa A Deming | Registered Nurse | 287 State Route 19, Wellsville, NY 14895-9452 | 2019-05-06 |
| 1396309605 | Janet Elane King | Registered Nurse | 11 Crescent Dr, Wellsville, NY 14895-9471 | 2019-04-23 |
| 1922662253 | Linda Lou Saunders | Registered Nurse | 1760 Covel Rd, Wellsville, NY 14895-9666 | 2019-04-22 |
| 1063979201 | Payton Munoz | Specialist/Technologist | 1783 Campground Rd, Wellsville, OH 43968-1721 | 2019-02-25 |
| 1154806578 | Angela Jones | Registered Nurse | 29 N Brooklyn Ave, Wellsville, NY 14895-1357 | 2018-10-02 |
| 1124504980 | Karen Leigh Overdorf | Nursing Care | 3358 State Route 19 N, Wellsville, NY 14895-9542 | 2018-07-16 |
| 1003392986 | Danielle Vantilburg | Home Health | 541 1/2 Main St, Wellsville, OH 43968-1653 | 2018-07-13 |
| Find all providers in WELLSVILLE | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1295843043 | Joseph Thomas Felsen | Internal Medicine | 243 Maple Ave, Wellsville, NY 14895 | 2006-08-29 |
| 1720266927 | Haag Medical Pllc | Internal Medicine | 238 N Main St, Wellsville, NY 14895-1046 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1063020626 | Mazin Hazim Kamil | Internal Medicine | 15 Remington Place Ct, Ballwin, MO 63021-6369 | 2020-07-20 |
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | WELLSVILLE |
| Zip Code | 63384 |
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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.