Active NPI
James K. Condon, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- New Port Richey, FL
National Provider Identifier
1083683353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME-71437
- Practice address
- 6804 Cecelia Dr
New Port Richey, FL 34653-4935 - Phone
- (727) 232-0644
- Fax
- (888) 546-0488
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0071437 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME0071437 | FL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME-71437 | FL | Primary |
| Surgical Critical Care Physician | 2086S0102X | ME-71437 | FL |
Addresses
Primary practice location
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Mailing address
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone (727) 232-0644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32303U | Other | FL | MEDICARE PTAN |
| 252311600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-71437 | FL | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| ME0071437 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfside Palliative Care, LLC | Past | Accepting new patients | |
| Gulfside Hospice, Inc. | Past | Accepting new patients | |
| Hospice and Palliative Physician Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Land O Lakes, FL
- NPI 1144328881
-
- Case Manager/Care Coordinator
- Zephyrhills, FL
- NPI 1750531489
-
- General Practice Physician
- Spring Hill, FL
- NPI 1609811009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1083683353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 CECELIA DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346534935",
"telephone_number": "727-232-0644",
"fax_number": "888-546-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 CECELIA DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346534935",
"telephone_number": "727-232-0644",
"fax_number": "888-546-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "JAMES",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0071437",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME0071437",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME-71437",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME-71437",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "32303U",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252311600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
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- Community Aging & Retirement Services, Inc
- Comprehensive Medical Care LLP
- Comprehensive Pain Management Partners LLP
- Julio Cesar Concepcion
- Annette Cone, BS
- Kim Marie Conklin, RPT
- Rebecca Conn
- Lauren A Connelly Calzadilla, LMT
- Kevin Patrick Conner, DC CCSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.