Individual provider Active NPI

Joseph F Condon, M.D.

  • Interventional Pain Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1750310223
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME148837 Issued in FL
Practice address
3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158
Phone
(941) 344-9249
Fax
(941) 827-8412
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 17334 NH
Physical Medicine & Rehabilitation Physician 208100000X ME148837 FL
Interventional Pain Medicine Physician 208VP0014X ME148837 FL Primary

Addresses

Primary practice location

3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158

Mailing address

3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158
Phone (941) 626-5291

Other identifiers 1

IdentifierTypeStateIssuer
ME148837OtherFLLICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091029000191 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 9335249549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
New York Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3417 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8158
Phone (941) 344-9249

Merit-based Incentive Payment System (MIPS)

Final score
88.37 of 100Reported as group
Quality
71.1
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F Condon, MD Inc Interventional Pain Medicine CurrentSince May 20, 2021 Accepting new patients
Physicians for Quality Healthcare, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 1, 2022 Accepting new patients
Wellness by Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 18, 2022 Accepting new patients
Wellness by Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 18, 2022 Accepting new patients
Charlotte Pain Management Center Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883

3417 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 344-9249

3109 Tamiami Trl
Ste 3
Pt Charlotte, FL 33952
Phone (941) 629-3000

2525 Harbor Blvd
Ste 201A
Pt Charlotte, FL 33952
Phone (941) 624-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4
  • Direct secure messaging: josephcondon@hps.allscriptsdirect.net
  • Direct secure messaging: joseph.condon.1@3611.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1750310223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-626-5291",
            "fax_number": "877-349-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-344-9249",
            "fax_number": "941-827-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NH",
            "license": "17334",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME148837",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME148837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME148837",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.