Garry P Condon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME121450 Issued in FL

Practice address

217 Manatee Ave E
Bradenton, FL 34208-1931

Phone

(941) 748-1818

Fax

(941) 746-1055

NPI assigned

Mar 17, 2006

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Male

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 FL

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

Practice roles

Locations

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.

• Manatee Sarasota Eye Clinic PA

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1093752149
  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1396714523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "GARRY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME121450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011431150002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Behavior Services
• Comprehensive Management Systems, Inc. (Community Medical Clinic)
• Comprehensive Mental Health Solutions
• Concierge Medhealth Clinic LLC
• Concierge Physical Therapy Services PLLC
• Confidential Christian Counseling Center
• Connect Grow Love, LLC (Kelly Coronel, LMHC)
• Alexis Caroline Connolly, APRN
• Brendon R Connolly, MD
• Jean M Connor, MA18357

• Ophthalmology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.