DR. COLE S CONDRA MD MSC
NPI 1467436469
Pediatrics - Pediatric Emergency Medicine in Louisville, KY

Q: What is Cole Condra's NPI number?

The NPI number for Cole Condra is 1467436469. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Cole Condra's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Cole Condra was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2005PECOS Enrolled

231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-6000(502) 629-5991 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Cole S Condra Md Msc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COLE S CONDRA MD MSC (NPI 1467436469) is an individual pediatric emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (38540) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467436469

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. COLE S CONDRACredential: MD MSC

Location Address231 E CHESTNUT STLouisville, KY 40202-1821

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 629-6000 · Fax (502) 629-5991

Phone(502) 629-6000

Fax(502) 629-5991

Sole ProprietorNo

Enumeration DateDecember 2, 2005

Last NPPES UpdateOctober 27, 2015

✔ NPI 1467436469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in KY · 38540✔ Licensed in KS · 04-32974

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 04-32974 (KS)

231 E CHESTNUT ST, Louisville, KY 40202

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Other Identifiers 5

Medicare PIN269000016MO

Medicaid200481480IN

Medicare PINK184120KY

Medicaid64080484KY

Medicaid200563930AKS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cole S Condra Md Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERON BAUMGARTEN

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