Matthew John Conde, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2022001110 Issued in MO

Practice address

1540 E Evergreen St
Springfield, MO 65803-4300

Phone

(417) 823-2900

Fax

(417) 886-2774

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

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.

• Sgoh Acquisition Inc

  • Clinic/Center
  • Springfield, MO
  • NPI 1114924768
  Medicare reassignment NPD
• TP Nixa Ops

  • Family Nurse Practitioner
  • Nixa, MO
  • NPI 1972327203
  Medicare reassignment
• Primrose Nephrology, Inc.

  • Specialist
  • Springfield, MO
  • NPI 1225163116
  NPD
• Sgoh Acquisition Inc

  • Rural Health Clinic/Center
  • Decatur, AR
  • NPI 1699513507
  NPD
• Chapel Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1407806698
  NPD (past)
• Denton Erdocs PA

  • Nurse Practitioner
  • Denton, TX
  • NPI 1295780906

  Physician Assistant

  NPD (past)
• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1982626354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E EVERGREEN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034300",
            "telephone_number": "417-823-2900",
            "fax_number": "417-823-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E EVERGREEN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034300",
            "telephone_number": "417-823-2900",
            "fax_number": "417-886-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3233 E Sunshine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042106",
            "country_code": "US",
            "telephone_number": "417-812-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 W Republic Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076056",
            "country_code": "US",
            "telephone_number": "417-986-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 W Sunshine St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658072656",
            "country_code": "US",
            "telephone_number": "417-986-0452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Battlefield St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075208",
            "country_code": "US",
            "telephone_number": "417-986-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022001110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya M. Compton, FNP
• Matthew Phillip Compton, MD
• Patricia M Compton, L.P.C.
• Tara Conaway
• Concentra Health Services, Inc.
• Emily Conklin, PA
• Ann Marie Conn, L.C.S.W.
• Connect Occupational Therapy, LLC
• Connected Counseling Services
• Connective Pathways LLC

• Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.