Leesa Blake Condry, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

E9043 Issued in TX

Practice address

3605 Lexington Ave
Dallas, TX 75205-3916

Phone

(214) 526-7995

Fax

(214) 522-1460

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 4, 2016 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: leesa.condry.1@17669.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alvin Thomas Hyslop M.D. P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1053424242
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1073746160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LEXINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053916",
            "telephone_number": "214-526-7995",
            "fax_number": "214-522-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LEXINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053916",
            "telephone_number": "214-526-7995",
            "fax_number": "214-522-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRY",
        "first_name": "LEESA",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E9043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conciergept, LLC
• Concord Anesthesia Care, PLLC
• Concord Surgical Care, LLC
• Marilyn Condon, PA-C
• Tatum Condrey
• Michael Condy, PT
• Lewis Cone, D.C.
• Stephanie Michelle Cone, NP-C
• Brennan Confer
• Confidant Texas PA

• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.