Active NPI
Donald P Condit MD PLLC
- Orthopaedic Hand Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1801830187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 4301404809
- Legal business name
- DONALD P CONDIT MD PLLC
- Practice address
- 1000 E Paris Ave SE
Suite 115
Grand Rapids, MI 49546-3680 - Phone
- (616) 954-1442
- Fax
- (616) 954-1446
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Patrick Condit, M.D.
- Title
- Owner/President
- Phone
- (616) 954-1442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 4301404809 | MI | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE
Suite 115
Grand Rapids, MI 49546-3680
Mailing address
1000 E Paris Ave SE
Suite 115
Grand Rapids, MI 49546-3680
Phone (616) 954-1442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004101221 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Grand Rapids, MI
- NPI 1518928423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1801830187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 115",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-954-1442",
"fax_number": "616-954-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 115",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-954-1442",
"fax_number": "616-954-1446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD P CONDIT MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "CONDIT",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "616-954-1442",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MI",
"license": "4301404809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2004101221",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.