Look up the most recent NPI and PECOS records

Michael M Condit

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

2008 Timber Ln, Dayton, OH 45414-4501

PECOS Enrollment

Based on the most recent information from CMS, provider Michael M Condit does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1699327551
Provider Type
Individual
Full Name
Condit, Michael M
Credential
SLP

Gender
Male
Sole Proprietor
No
Enumeration Date
7/11/2019
Last Updated
8/21/2024

Contact Information

Practice Location

2008 Timber Ln, Dayton, OH 45414-4501

(937) 278-5885

Unlisted Fax

Mailing Location

11012 Harrison Way, Walton, KY 41094-9600

(513) 432-7958

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SP.13928 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0406425	Description Medicaid	Issuer Unlisted Ohio
ID AB7360731	Description Other	Issuer MEDICARE PIN Ohio

Michael M Condit

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Ortiz, Jasmine

Ferguson, Emmi

Suddath, Carol

Franzer, Emily

Grant-Raucci, Lisa Vale

Sarra, Anna Teresa

Loew, Grace

Milligan, Brittany