Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1992794655 Deactivated / Inactive NPI Male Practitioner

Dr. Michael S Condron , MD

General Practice • South Bend, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Condron has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2005
NPI Deactivation Date January 17, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Condron, MD was a registered General Practice practicing in South Bend, IN. Throughout an active medical career spanning 12 years, Dr. Condron provided care at the practice location at 211 N EDDY ST until profile deactivation on 2017-01-17.

Practice Location & Contact Primary Location

Practice Address

211 N Eddy St

South Bend, IN 466172808

Telephone 5742468816
Fax 5742391489
Associated Practice Facility / Clinic
🏢 The South Bend Clinic Llp Facility NPI 1538257167

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
3 Specialists

Practicing in South Bend, IN (190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 01027645A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Morgan Irion , MD

Family Medicine

NPI 1124463005

Doctor of Medicine (M.D.)

Dr. John Reed , MD

Family Medicine

NPI 1306869524

Doctor of Medicine (M.D.)

Dr. Brian Hughes , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1326291915

Doctor of Medicine (M.D.)

Danielle Bae

Pharmacist

NPI 1528636925
NPI 1720078108

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2017

Record deactivated on January 17, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742468816)

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Updated Business Mailing Address July 08, 2007

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742468816)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CONDRON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #01027645A in IN)

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Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992794655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: July 08, 2007
Deactivation Date: January 17, 2017

Mailing Address

211 N Eddy St

South Bend, IN 466172808

Phone: 5742468816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.