| Autumn Dawn Conde, DO | |
|
1900 Composite Dr, Kettering, OH 45420-1475 | |
| (937) 293-8419 | |
| (937) 293-1545 |
| Full Name | Autumn Dawn Conde |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1900 Composite Dr, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689873127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD152457 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 34.009523 (Ohio) | Primary |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Dawn Conde, DO 1900 Composite Dr, Kettering, OH 45420-1475 Ph: (937) 293-8419 | Autumn Dawn Conde, DO 1900 Composite Dr, Kettering, OH 45420-1475 Ph: (937) 293-8419 |
Dr. David Aaron Heidrich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 E Stroop Rd, Kettering, OH 45429 Phone: 937-208-7400 Fax: 937-208-7405 | |
Swathi Datla, M.B.B.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Christian E. Koch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3080 Ackerman Blvd Ste 110, Kettering, OH 45429 Phone: 937-293-5080 Fax: 937-293-8820 | |
Dr. Eric David Chico, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2632 Woodman Center Ct, Kettering, OH 45420 Phone: 937-739-7100 | |
Bradford J Murphy, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3716 Wilmington Pike, Kettering, OH 45429 Phone: 937-298-1439 Fax: 937-298-7422 | |
Dr. Kyle Ott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4441 Far Hills Ave, Kettering, OH 45429 Phone: 937-298-7351 Fax: 937-298-9458 | |
Mrs. Carol Gaut Ryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1360 E Stroop Rd, Kettering, OH 45429 Phone: 937-294-5566 Fax: 937-296-0570 |