Michael R. Condaras, DC
Individual provider Active NPI Chiropractor · Charleston, WV
NPI 1669437174 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1669437174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 161 (WV)
- Practice address
- 1202 Virginia St E
Charleston, WV 25301-2909 - Phone
- (304) 342-3323
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Michael R. Condaras DCCC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 161 | WV | Yes |
Addresses
Primary practice location
1202 Virginia St E
Charleston, WV 25301-2909
Mailing address
1202 Virginia St. E.
Charleston, WV 25301-2909
Phone (304) 342-3323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131291000 | Medicaid | WV |
Other names
- Dr. Michael R Condaras
Other providers in Charleston, WV
- Comprehensive Neurology Inc
- Pamela Compton
- Shayna Compton
- Tana Compton
- Emelia Conaty
- Destiny Conkle
- Thomas Lynn Conklin
- Bethany Conley
- Bobbi Conley
- Deanna M Conley
All providers in Charleston, WV · Chiropractor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.