MEDICARE: IAN M CONDON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101249073	VA

General Provider Information

NPI Number	:	1073795837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN M CONDON MD

Provider Business Mailing Address
First Line	:	320 E NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4756
Country	:	US
Telephone Number	:	757-399-7451
Fax Number	:	757-399-1158

Provider Business Practice Location Address
First Line	:	3200 TYRE NECK RD
Second Line	:	SUITE 101
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-3329
Country	:	US
Telephone Number	:	757-399-7451
Fax Number	:	757-399-1158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	06/30/2021

Similar Medicare Providers

1053391839 — MR. JOHN EDWARD LENAHAN CRNA
Practice Location Address:

3200 TYRE NECK RD , SUITE101
PORTSMOUTH, VA
23703-3329

Practice Phone: 757-399-7451
Practice Fax:

1922390210 — MR. KETAN R SHAH CRNA
Practice Location Address:

3200 TYRE NECK RD , SUITE 101
PORTSMOUTH, VA
23703-3329

Practice Phone: 757-399-7451
Practice Fax: 757-399-1158

1528331311 — AMANDA HILL FENN CRNA
Practice Location Address:

3200 TYRE NECK RD , SUITE 101
PORTSMOUTH, VA
23703-3329

Practice Phone: 757-399-1157
Practice Fax: 757-399-1158

1245194489 — IN LOVING HANDS LLC.
Practice Location Address:

5935 KNIGHTSBRIDGE WAY
PORTSMOUTH, VA
23703-5506

Practice Phone: 757-335-2404
Practice Fax:

1063374890 — RENEWED COUNSELING GROUP LLC
Practice Location Address:

5963 EAGLE PT
PORTSMOUTH, VA
23703-5373

Practice Phone: 757-284-4890
Practice Fax:

1245238096 — MARK A PAVILACK MD
Practice Location Address:

3235 ACADEMY AVE , SUITE 200
PORTSMOUTH, VA
23703-3200

Practice Phone: 757-483-0400
Practice Fax:

Directions to “ IAN M CONDON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.