Paula A Condon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

59578 Issued in MA

Practice address

150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767

Phone

(413) 536-2393

Fax

(413) 536-1087

NPI assigned

Mar 14, 2006

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcondon6900@direct.chppoc.masshiway.net

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.

• Holyoke Pediatric Associates, LLP

  • Pediatrics Physician
  • Holyoke, MA
  • NPI 1568439818
  Medicare reassignment NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1225007156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD",
            "address_2": "STE1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402890",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD",
            "address_2": "STE1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402767",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "PAULA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "59578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3033333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Foot Care, Inc
• Julie Michelle Comtois
• Julian Concannon
• Denisha A Concepcion
• Irving Concepcion
• Congregation of the Sisters of St. Joseph of Springfield
• Connectus Home Care LLC
• Patrick Michael Connon
• Lisa Connors
• Kimberly Contonio

• Pediatrics Physician in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.