Active NPI
Eva J Condon, MD
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25289
- Practice address
- 300 W Clarendon Ave
375
Phoenix, AZ 85013-3420 - Phone
- (602) 277-4161
- Fax
- (602) 274-3394
- NPI assigned
- Jun 26, 2006
- Last updated
- Oct 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25289 | AZ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25289 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone (602) 277-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384420 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- McGill University, Faculty of Medicine, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
353 Fairmont Blvd
Rapid City, SD 57701-7393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25289 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Neonatology Associates, LTD | Pediatrics | Past | Accepting new patients |
| Obstetrix Medical Group of Phoenix PC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Honorhealth | Past | Accepting new patients | |
| SMSJ Tucson Holdings LLC | Past | Accepting new patients | |
| Arizona Pediatric Cardiology, LLC | Past | Accepting new patients | |
| Children's Hospital | Past | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 13
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
dba Carondelet Medical Group
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
dba Monument Health Rapid Valley Clinic
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
dba Monument Health Neuropsychology
- Psychiatry Physician
- Rapid City, SD
- NPI 1164797189
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1861811432
-
dba HonorHealth Four Peaks Medical Center
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
dba Phoenix Perinatal Associates
- Neonatal-Perinatal Medicine Physician
- Mesa, AZ
- NPI 1407957152
-
dba St. Josephs Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1194751420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-274-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-274-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "EVA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "25289",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "25289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384420",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.