Organization Active NPI

Yoland Condrey, M.D., P.a., F.a.a.P.

  • Pediatrics Physician
  • Mountain Home, AR
National Provider Identifier
1144427147
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
YOLAND CONDREY, M.D., P.A., F.A.A.P.
Practice address
4 Medical PLZ
Mountain Home, AR 72653-2919
Phone
(870) 425-6272
Fax
(870) 424-3320
NPI assigned
Jul 2, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Carol Vaughn
Title
Office Manager
Phone
(870) 425-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

4 Medical PLZ
Mountain Home, AR 72653-2919

Mailing address

4 Medical PLZ
Mountain Home, AR 72653-2919
Phone (870) 425-6272

National Provider Directory

National Provider Directory

Locations

4 Medical Plz
Mountain Home, AR 72653
Phone (501) 327-3668

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1144427147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532919",
            "telephone_number": "870-425-6272",
            "fax_number": "870-424-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532919",
            "telephone_number": "870-425-6272",
            "fax_number": "870-424-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLAND CONDREY, M.D., P.A., F.A.A.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-425-6272"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.