DENNIS JAMES KONDASH (NPI# 1689705618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689705618 |
| Entity Type | Individual |
| Full Name | DENNIS JAMES KONDASH |
| Credential | D.O. |
| Practice Address |
211 N 12th St Lehighton PA 18235-1138 |
| Practice Telephone | 6103777174 |
| Practice Fax Number | 6103774785 |
| Mailing Telephone | 6103777174 |
| Mailing Fax Number | 6103774785 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
C2-0007569 | DE | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C2-0007569 | DE | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS004813L | PA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
C2-0007569 | DE | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OS004813L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
211 N 12TH ST |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602181 | Yih-shyong Ko | Anesthesiology | 211 N 12th St, Lehighton, PA 18235-1138 | 2005-07-12 |
| 1144827999 | Lesley A Destefano | Physical Medicine & Rehabilitation | 211 N 12th St, Lehighton, PA 18235-1138 | 2020-10-05 |
| 1255976395 | William Goodland | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-11-13 |
| 1366900714 | Denise Ann Frey | Dietitian, Registered | 211 N 12th St, Lehighton, PA 18235-1138 | 2019-03-05 |
| 1598283483 | Knd Development 59, LLC | Hospitalist | 211 N 12th St, Lehighton, PA 18235-1138 | 2017-08-31 |
| 1861865115 | Jason Howay | Pharmacist | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-11-09 |
| 1871965897 | Stalwart Emergency Physicians, Pplc | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-10-29 |
| 1508256488 | Kristin Meckes | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2015-01-29 |
| 1558768721 | Timothy Joseph Donaghy | Nurse Practitioner | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-12-03 |
| 1629479084 | Eric Schultz | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1578835799 | Gordon Thomas Fletcher | Family Medicine | 128 Guillard Rd, Prospect, PA 16052-2702 | 2012-02-03 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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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.