George Avery Kondik, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA568 Issued in KY

Practice address

2845 Chancellor Dr
Crestview Hills, KY 41017-3418

Phone

(859) 426-4200

Fax

(859) 426-4206

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Margaret Mary Community Hospital IncGroup PAC ID 5193714335, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
• Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avery.kondik.p1@direct.beaconortho.nextgenshare.com

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.

• Margaret Mary Community Hospital Inc

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449
  Medicare reassignment Care Compare group NPD
• Margaret Mary Community Hospital, Inc

  • Rural Health Clinic/Center
  • Brookville, IN
  • NPI 1164132510
  NPD
• Orthocincy Orthopaedics & Sports Medicine PSC

  • Orthopaedic Surgery Physician
  • Florence, KY
  • NPI 1396156972
  NPD (past)
• Jeffrey a. Hatcher, MD, PC

  • Obstetrics & Gynecology Physician
  • Greensburg, IN
  • NPI 1336258581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Care Compare affiliation
• Margaret Mary Community Hospital Inc

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1861497661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-301-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CHANCELLOR DR",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173418",
            "telephone_number": "859-426-4200",
            "fax_number": "859-426-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDIK",
        "first_name": "GEORGE",
        "middle_name": "AVERY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000241201",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "90008962",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970027844",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "428850003",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Knibbe, MD DDS
• Elisabeth J Knose
• Kathleen Knutson, MHS, OTR/L, CHT
• Theresa R Koester, MD
• Brandon Kohrs, D.O.
• Sai Ram Sunil Sarma Konduri, M.D
• Annalee R. Konnos, APRN
• Grace Kozal
• Daniel Christopher Kreatsoulas, MD
• Cathy Sue Kreimer, APRN

• Surgical Physician Assistant in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.