Active NPI
Charles L Conlon, MD
- Hematology & Oncology Physician
- Sugar Land, TX
National Provider Identifier
1407956691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- E4266
- Practice address
- 16675 Southwest Fwy
#200
Sugar Land, TX 77479-2344 - Phone
- (281) 265-5454
- Fax
- (281) 265-5484
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | E4266 | TX | Primary |
Addresses
Primary practice location
16675 Southwest Fwy
#200
Sugar Land, TX 77479-2344
Mailing address
16675 Southwest Fwy
#200
Sugar Land, TX 77479-2344
Phone (281) 265-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135300508 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4266 | TX | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1407956691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16675 SOUTHWEST FWY",
"address_2": "#200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792344",
"telephone_number": "281-265-5454",
"fax_number": "281-265-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16675 SOUTHWEST FWY",
"address_2": "#200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792344",
"telephone_number": "281-265-5454",
"fax_number": "281-265-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "E4266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135300508",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- James Gregory Condrey, D.D.S., M.S.
- Suzanne M. Condron, MD
- Confident Kids Therapy LLC (Confident Kids Speech Therapy)
- Conlon Psychological Services, PLLC
- Celeste Conlon, PH.D.
- Robert Conlon, PH.D.
- Cecilia Conner
- Conquest DME LLC
- Terri Lynn Conrad, OD
- Consolidated Home Health Holdings, LLC (Consolidated Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.