JOSEPH N CANDELORA


Address: 969 Lakeland Dr, Jackson, MS 39216-4606
Phone: 6012006757

JOSEPH N CANDELORA (NPI# 1306843131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306843131
Entity Type Individual
Full Name JOSEPH N CANDELORA
Credential M.D.
Practice Address 969 Lakeland Dr
Jackson
MS 39216-4606
Mailing Address Po Box 55873
Jackson
MS 39296-5873
Practice Telephone 6012006757
Practice Fax Number 6012008801
Mailing Telephone 6013621319
Mailing Fax Number 6013629569
Enumeration Date 2005-07-07
Last Update Date 2008-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
08190 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WESTERN OHIO HEALTHCARE 2444281 01
BC OF TN 4004816 01
AETNA 7128306 01
MS 00121875 05

Office Location

Street Address 969 LAKELAND DR
City JACKSON
State MS
Zip Code 39216-4606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316554736 Brooke Collins 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-29
1972117232 William Paul Coe Nurse Practitioner 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-03
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1235741646 Stephanie H Atkins Student in an Organized Health Care Education/Training Program 969 Lakeland Dr, Jackson, MS 39216-4606 2020-08-18
1063038636 Ayanna Washington Registered Nurse 969 Lakeland Dr, Jackson, MS 39216-4606 2020-06-19
1669092227 Christopher L Stephens Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-04-23
1578190385 Lindsey Elizabeth Jibol Counselor 969 Lakeland Dr, Jackson, MS 39216-4699 2020-03-24
1801436951 Callie Bridges Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-01-07
1053951194 Zachary Halliwell Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-01-07
1720624075 Tracy Fritts Dietitian, Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2019-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215049929 Clay Broders Calcote Pathology 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116 2006-08-31
1629015581 Nagy H Mikhail Pathology 29 Overlook Dr, Jackson, NJ 08527-4845 2006-06-01
1215934047 James P Almas Pathology 969 Lakeland Drive, Jackson, MS 39216-4699 2005-07-07
1598181943 Vikas Nath Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1811313281 Kristen Adams Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1760808109 Raveena Reddy Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1811335474 Stephanie Crabtree Tanner Pathology 2500 N State St, Department of Pathology, Jackson, MS 39216-4500 2013-06-05
1649613670 Sarika Prakash Jain Pathology 2500 N State St, Jackson, MS 39216 2013-04-09
1023362456 Kathryn B Brown Pathology 1225 N State St, Jackson, MS 39202-2064 2012-11-07
1164716148 Michael A Mahowald Pathology 2500 N State St, Jackson, MS 39216-4500 2011-06-07
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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