Organization Active NPI

Donald F. Condon, M.D.

  • Primary Care Clinic/Center
  • Spokane, WA
National Provider Identifier
1063692747
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD00016998 Issued in WA
Legal business name
DONALD F. CONDON, M.D.
Practice address
9631 N Nevada St
Ste 202
Spokane, WA 99218-1133
Phone
(509) 467-1100
Fax
(509) 468-0173
NPI assigned
Nov 9, 2007
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DONALD F. CONDON, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ken Rehfeld
Title
Office Manager
Phone
(509) 467-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD00016998 WA Primary

Addresses

Primary practice location

9631 N Nevada St
Ste 202
Spokane, WA 99218-1133

Mailing address

9631 N Nevada St
Ste 202
Spokane, WA 99218-1133
Phone (509) 467-1100

Other identifiers 2

IdentifierTypeStateIssuer
0873820001OtherWADMEC
756081728OtherWAMEDICARE RAIL ROAD

National Provider Directory

National Provider Directory
Part of
Donald F Condon MD

Locations

9631 N Nevada St
Ste 202
Spokane, WA 99218
Phone (509) 467-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1063692747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181133",
            "telephone_number": "509-467-1100",
            "fax_number": "509-468-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181133",
            "telephone_number": "509-467-1100",
            "fax_number": "509-468-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD F. CONDON, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONALD F. CONDON, M.D.",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "REHFELD",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-467-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00016998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEC",
            "identifier": "0873820001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "756081728",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.