Active NPI
William Condrin, M.D.
- Diagnostic Radiology Physician
- Kingwood, TX
National Provider Identifier
1083812093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Medical Specialty Clinic/Center
- Owasso, OK
- NPI 1588649305
-
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1598748162
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
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": []
}
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- Molly Mayerle Conklin
- Connect ABA and Consulting LLC
- Connected Healthcare Partners, PLLC
- Gregory James Conner, PT, DPT
- Conquer Counseling LLC
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.