JOHN RAYMOND CONDIE (NPI# 1417104548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417104548 |
| Entity Type | Individual |
| Full Name | JOHN RAYMOND CONDIE |
| Credential | M.D. |
| Practice Address |
1919 E Thomas Rd Phoenix AZ 85016-7710 |
| Mailing Address |
1919 E Thomas Rd Bldg 2108, Ste 101 Phoenix AZ 85016-7710 |
| Practice Telephone | 6029330970 |
| Practice Fax Number | 6029330068 |
| Mailing Telephone | 6025128029 |
| Mailing Fax Number | 6025128161 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 125-053657 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
44762 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639219553 | John Douglas Condie Jr. | Surgery | 2505 Samaritan Drive, Suite 601, San Jose, CA 95124-4017 | 2007-02-08 |
| Street Address |
1919 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162953 | Richard N Southard | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2005-05-31 |
| 1265049472 | Chelsea Agricola | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-30 |
| 1871109686 | Madeline Rose Mcnamee | Audiologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-17 |
| 1699380212 | Lindsey N Manz | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-10 |
| 1376156331 | Jena Paige Buck | Occupational Therapist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1386257244 | Alia Torfa | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
| 1811508708 | Clara A Hart | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-13 |
| 1811505571 | Daniela M Giralt | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-20 |
| 1902424179 | Soren B Mickelsen | Speech-Language Pathologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900584 | Vinodh Narayanan | Psychiatry & Neurology | 3330 N 2nd St Ste 402, Phoenix, AZ 85012 | 2006-08-18 |
| 1871835918 | Jennifer Ashley Heim | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
| 1982946299 | Deepali D Eksambe | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2013-03-25 |
| 1881952794 | Jordana Fox Kensicki | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-04-28 |
| 1770849275 | Kavitha Tirumalasetti Karnik | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2012-04-09 |
| 1518250224 | Apnna - Arizona Pediatric Neurology & Neurogenetics Associates | Psychiatry & Neurology | 222 W Thomas Rd, Suite 406, Phoenix, AZ 85013-4419 | 2011-05-27 |
| 1396037644 | Brian Leonard Appavu | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-05-04 |
| 1255569976 | Beth Ann Haynes | Psychiatry & Neurology | 1919 E Thomas Rd, Ambulatory Building, Phoenix, AZ 85016-7710 | 2009-07-01 |
| 1922234392 | Varina Louise Boerwinkle | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-05-29 |
| 1356584759 | Ovictor Leo Roldan Tesoro | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2009-04-14 |
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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.