KENNETH G CONDON (NPI# 1215994363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215994363 |
| Entity Type | Individual |
| Full Name | KENNETH G CONDON |
| Credential | MD |
| Practice Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7153875511 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
24143 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 N OAK AVE |
| City | MARSHFIELD |
| State | WI |
| Zip Code | 54449-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638643 | Ajit V Pillai | Dentist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2005-06-13 |
| 1760080535 | Dylan Loertscher | Physical Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-10-14 |
| 1871190058 | Junting Liu | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-10-01 |
| 1235746959 | Taylor Marie Tischauser | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-27 |
| 1558978544 | Claire Marie Lindner | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-24 |
| 1336753326 | Aanchal Chaudhary | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-07 |
| 1457964389 | Gul Nawaz | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-29 |
| 1639782782 | Kimberly Carolfi | Nurse Practitioner | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-28 |
| 1831702190 | Alexandra Fuss Vanderwerff | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-08-26 |
| 1003428343 | Medhavani Dhruv Chandra | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
| 1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
| 1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
| 1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
| 1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
| 1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
| Find all providers in zip 54449 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518179928 | John D. Wolski | Otolaryngology | 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 | 2007-05-06 |
| 1154393791 | Thomas Oliver Wildes | Otolaryngology | 962 Parkland Dr, Chippewa Falls, WI 54729-5084 | 2006-02-07 |
| 1194100511 | Midwest Surgical Professionals LLC | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2015-07-27 |
| 1255582078 | Martin E. Samuel, Dds,md,sc | Otolaryngology | 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 | 2008-10-10 |
| 1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
| 1619157161 | Michael Healy Mcdonald | Otolaryngology | 6408 Copps Ave, Monona, WI 53716-3702 | 2007-11-13 |
| 1275725913 | Jessica Ann Weddle | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-08-16 |
| 1346450558 | Ayman D Yaish | Otolaryngology | 130 Warren St, Suite 130, Beaver Dam, WI 53916 | 2007-05-23 |
| 1962617845 | Edward Lawrence Smith | Otolaryngology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2007-05-13 |
| 1629294145 | Michael James Mcavoy | Otolaryngology | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 54449 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.