Individual provider Active NPI

Christopher J Kondor, PA C

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1457345449
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9101144 Issued in FL
Practice address
4215 Edgewater Dr
Orlando, FL 32804-2206
Phone
(407) 539-2000
Fax
(407) 398-0050
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9101144 FL Primary

Addresses

Primary practice location

4215 Edgewater Dr
Orlando, FL 32804-2206

Mailing address

PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 826-8291

Other identifiers 2

IdentifierTypeStateIssuer
290725900MedicaidFL
HF826AOtherFLMEDICARE GROUP PTAN

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Otolaryngology Group, P.a. PastSince Oct 3, 2012 Accepting new patients
Southeastern Clinical Services,Inc. Surgical PastSince Jun 5, 2012 Accepting new patients
Florida Surgical Group, P.a. Past Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients
Citrus Surgical Group PA PastSince Jan 1, 1996 Accepting new patients
Greater Orlando Neursurgery and Spine PastSince Feb 7, 1999 Accepting new patients
Stephen Schreiber, MD Past Accepting new patients
Neurosurgical Consultants of FL, PA PastSince Apr 14, 2000 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Associates in Neurosurgery, PA Past Accepting new patients
German Montoya, M.D.PA Past Accepting new patients
Baker Heard Osteen & Davenport MD PA Past Accepting new patients

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1457345449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4059",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744059",
            "telephone_number": "973-826-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042206",
            "telephone_number": "407-539-2000",
            "fax_number": "407-398-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290725900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "HF826A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.