DR. JOHN DOUGLAS CONDIE JR. (NPI# 1639219553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639219553 |
| Entity Type | Individual |
| Full Name | DR. JOHN DOUGLAS CONDIE JR. |
| Credential | M.D. |
| Practice Address |
2505 Samaritan Drive Suite 601 San Jose CA 95124-4017 |
| Mailing Address |
12305 Obrad Dr Saratoga CA 95070-3519 |
| Practice Telephone | 4083581024 |
| Practice Fax Number | 4083581075 |
| Mailing Telephone | 4082572948 |
| Mailing Fax Number | 4082575231 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
G45167 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417104548 | John Raymond Condie | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2008-08-20 |
| Street Address |
2505 SAMARITAN DRIVE SUITE 601 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750304101 | Abe M Piramoon | Surgery | 2505 Samaritan Drive, Ste 508, San Jose, CA 95124 | 2006-07-26 |
| 1265856124 | M Reza Rohani Md Facs Inc | Surgery | 2505 Samaritan Drive, Ste 504, San Jose, CA 95124-4014 | 2014-02-13 |
| 1023296548 | Jerry Mercado | Pediatrics | 2505 Samaritan Drive, Suite 304, San Jose, CA 95124-4006 | 2008-02-06 |
| 1205046745 | Franklin A Rumore M.d., Inc. | Psychiatry & Neurology | 2505 Samaritan Drive, Suite 603, San Jose, CA 95124-4017 | 2007-05-23 |
| 1720292287 | Metabolic Nutrition Program | Clinic/Center | 2505 Samaritan Drive, Suite 405, San Jose, CA 95124 | 2007-05-10 |
| 1548472491 | Wilbur Gordon Walker Jr. | Psychiatry & Neurology | 2505 Samaritan Drive, Suite 501, San Jose, CA 95124 | 2007-05-04 |
| 1033245584 | Latha B Vrittamani | Pediatrics | 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 | 2007-02-26 |
| 1427154541 | Claire M Del Signore | Pediatrics | 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 | 2006-09-15 |
| 1538273073 | Michael C Kushlan | Internal Medicine | 2505 Samaritan Drive, Suite # 502, San Jose, CA 95124-4014 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891708921 | Janice Yeung | Surgery | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
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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.