Alice M Condro, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101038117 Issued in VA

Practice address

7023 Old Jahnke Rd
Richmond, VA 23225-4126

Phone

(804) 320-1353

Fax

(804) 320-6636

NPI assigned

Oct 14, 2005

Last updated

Apr 20, 2020By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alicecondro@cpam.allscriptsdirect.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.

• Commonwealth Pediatrics

  • Specialist
  • Richmond, VA
  • NPI 1104917954
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1336138247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 OLD JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254126",
            "telephone_number": "804-320-1353",
            "fax_number": "804-320-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 OLD JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254126",
            "telephone_number": "804-320-1353",
            "fax_number": "804-320-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRO",
        "first_name": "ALICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101038117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "1382952",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "1379455",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA/US HEALTHCARE ID",
            "identifier": "584786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Kenshiemaru Concepcion
• Joseph Concodora, M.D.
• Concussion Care Centre of VA
• Peter Condro Jr., M.D.
• Elizabeth S Condyles, LPC
• Ponjola Coney, M.D.
• Bridget Coneys
• Confident Living Home Therapy Consulting LLC (Confident Living)

• Pediatrics Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.