Alan Skidmore Condie, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

167821-1205 Issued in UT

Practice address

1375 Kristie LN
Salt Lake City, UT 84108-2229

Phone

(801) 583-8501

NPI assigned

Mar 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Utah Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Salt Lake City, UT
  • NPI 1093769218
  NPD (past)
• University of Utah Emergency Physicians

  • Emergency Medicine Physician
  • Rock Springs, WY
  • NPI 1730583295
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1972802999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 KRISTIE LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082229",
            "telephone_number": "801-583-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 KRISTIE LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082229",
            "telephone_number": "801-583-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "ALAN",
        "middle_name": "SKIDMORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "167821-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Patrick Conahan, MD
• Rocco Carl Conca, PA-C
• Concentra Health Services, Inc.
• Addison Concidine
• Carly Elise Conder
• Chad Condie, PHARMD
• Curtis Searle Condie, DDS
• Kaytlyn Condie
• Karen Cone-Uemura, PHD
• Jess A Cone, LCSW

• Emergency Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.