Carlos X Condado (NPI# 1205028768, PAC ID# 2860478690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1205028768 |
| PAC ID by PECOS | 2860478690 |
| Professional Enrollment ID | I20060313000396 |
| Full Name | Carlos X Condado |
| Organization Legal Name | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Address |
112 E 5th Ave Antigo WI 54409-2710 |
| Phone Number | 7156232331 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1557271202 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521350 | LANGLADE HOSPITAL |
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 E 5th Ave, Antigo, WI 54409-2710 | 7156232331 | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| 744 S Webster Ave, Green Bay, WI 54301-3505 | 9204457217 | BELLIN MEMORIAL HOSPITAL INC |
| 1400 W Ice Lake Rd, Aspirus Iron River Hospital, Iron River, MI 49935-9526 | 9062656121 | ASPIRUS IRON RIVER HOSPITAL AND CLINICS INC |
| 411 Westwood Dr, Wausau, WI 54401-4152 | 7158472558 | GASTROINTESTINAL ASSOCIATES S.C. |
| 800 N 1st St, Wausau, WI 54403-4754 | 7152618500 | MIDWEST ALLIANCE SERVICES LLC |
| Organization Legal Name | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Space | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | W10618 Clinic St, Elcho, WI 54428-9619 |
| Gina E Ramthun | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Kasra A Milani | Hospitalist | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Debra A Safford | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Angela E Buchman | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Andrea L Pennington | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Dennis Mcfadden | Obstetrics/gynecology | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Kara Hall | Clinical Social Worker | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Kyle J Dembowiak | Family Medicine | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Tanya B Lechtev | Internal Medicine | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Street Address |
112 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip | 54409-2710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasra A Milani | Hospitalist | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Tanya B Lechtev | Internal Medicine | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Christopher S Platta | Radiation Oncology | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| David D Vanderkin | Diagnostic Radiology | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Steven D Pals | Orthopedic Surgery | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald N Rindal | Chiropractic | 1029 5th Ave, Antigo, WI 54409-1458 | |
| Mark A Aldrich | Podiatry | 737 Dorr St, Antigo, WI 54409-1472 | |
| Andrew C Krueger | Chiropractic | 436 Superior St, Antigo, WI 54409-1855 | |
| Roxanne E Doyle Keszo | Optometry | Thomas G Peterson Od Sc | 810 5th Ave, Antigo, WI 54409-1937 |
| Curt C Johnson | Chiropractic | 510 Superior St, Antigo, WI 54409-2043 | |
| Margaret A Rosauer Johnson | Chiropractic | 510 Superior St, Antigo, WI 54409-2043 | |
| Richard A Kjome | Optometry | 714 3rd Ave, Antigo, WI 54409-2044 | |
| Stacy M Bula | Chiropractic | 537 Field St, Antigo, WI 54409-2229 | |
| Earl J Roth | Chiropractic | 612 Century Ave, Antigo, WI 54409-2447 | |
| Nicholas Raymond Wachtel | Chiropractic | Cornerstone Chiropractic and Wellness LLC | 2006 Progress Blvd, Antigo, WI 54409-2475 |
| Find all physicians in zip 54409 | |||
| City | ANTIGO |
| Zip Code | 54409 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ANTIGO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Carlos X Condado.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.