Stephanie D Condon, PA C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

PA A10172 RX Issued in LA

Practice address

4720 Si 10 Service Rd
#502
Metairie, LA 70001

Phone

(504) 885-6060

Fax

(504) 887-2114

NPI assigned

Apr 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396965653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SI 10 SERVICE RD",
            "address_2": "#502",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-885-6060",
            "fax_number": "504-887-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SI 10 SERVICE RD",
            "address_2": "#502",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-885-6060",
            "fax_number": "504-887-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "PA A10172 RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concerned Care Home Health
• Concerned Care Hospice LLC
• Concerned Care Palliative Services LLC
• Stephanie Condit, M.A., LPC, ATR
• Kathleen Condon
• Mykayla Courtney Conerly, M.ED., M.S., BCBA
• Carrie Conley
• Connections Psychotherapy & Wellness
• James Michael Connick, MD
• Kendall Connick, NP-C

• Obstetrics & Gynecology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.