Individual provider Active NPI

William Condrin, M.D.

  • Diagnostic Radiology Physician
  • Kingwood, TX
National Provider Identifier
1083812093
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9908 Issued in OK
Practice address
2313 Timber Shadows Dr Ste 104
Kingwood, TX 77339-2039
Phone
(281) 358-5382
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9908 OK Primary

Addresses

Primary practice location

2313 Timber Shadows Dr Ste 104
Kingwood, TX 77339-2039

Mailing address

2313 Timber Shadows Dr Ste 104
Kingwood, TX 77339-2039
Phone (281) 358-5382

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Enid P C Diagnostic Radiology Past Accepting new patients
Springer Clinic Inc Past Accepting new patients
Radiological Imaging of Oklahoma, L.L.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1083812093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 TIMBER SHADOWS DR STE 104",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392039",
            "telephone_number": "281-358-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 TIMBER SHADOWS DR STE 104",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392039",
            "telephone_number": "281-358-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRIN",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.