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Export Provider Record NPI 1124091343
Pete E KondoliosM.D.
Active
NPI Number1124091343
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1124091343
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-02-08
Last Updated2007-07-08
Mailing Address321 Niles Cortland Rd Ne
Warren, OH 44484-1974
United States
Phone: (330) 609-5588 | Fax: (330) 609-5740
📍 View Map
Primary Practice Address321 Niles Cortland Rd Ne
Warren, OH 44484-1974
United States
Phone: (330) 609-5588 | Fax: (330) 609-5740
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH0942485
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsOH35-06-1915-K
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About NPI 1124091343

Pete E Kondolios M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124091343. The primary specialty listed is Pediatrics. The provider is located in Warren, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124091343?

NPI 1124091343 belongs to Pete E Kondolios M.D., a Pediatrics in Warren, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124091343 active?

The current status of NPI 1124091343 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1124091343?

NPI 1124091343 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124091343?

You can verify NPI 1124091343 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124091343?

The primary practice address on file for NPI 1124091343 is 321 Niles Cortland Rd Ne, Warren, OH 44484-1974. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124091343 issued?

NPI 1124091343 was first issued (enumerated) on 2006-02-08. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Pete E Kondolios is located at 321 Niles Cortland Rd Ne, Warren, OH. Use the map below to find directions or verify the practice location.

📍 321 Niles Cortland Rd Ne, Warren, OH 44484-1974  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Pete E Kondolios. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124091343. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics35-06-1915-KOH
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162