DR. MITCHEL L. MCCANDLISH (NPI# 1316932718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316932718 |
| Entity Type | Individual |
| Full Name | DR. MITCHEL L. MCCANDLISH |
| Credential | MD |
| Practice Address |
501 Braddock Ave Braddock PA 15104-1856 |
| Practice Telephone | 4126365050 |
| Practice Fax Number | 4122712361 |
| Mailing Telephone | 4122712361 |
| Mailing Fax Number | 4122712361 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD039480E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011172130001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Friendship Ave, Emerg Med Western Penna Hospital, Pittsburgh, PA 152241722 | 4125785442 | 4125781144 |
| Street Address |
501 BRADDOCK AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325870 | Megan Marie Hensler | Nurse Practitioner | 501 Braddock Ave, Braddock, PA 15104-1856 | 2020-08-05 |
| 1639643208 | Allegheny Clinic | Family Medicine | 501 Braddock Ave, Braddock, PA 15104-1856 | 2019-01-17 |
| 1558777300 | Amrit Riarh | Family Medicine | 501 Braddock Ave, Braddock, PA 15104-1856 | 2014-07-01 |
| 1467891184 | Kandice Kristen Waul-bennett | Family Medicine | 501 Braddock Ave, Braddock, PA 15104-1856 | 2013-06-15 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1356632749 | Danielle Greenleaf | Family Medicine | 501 Braddock Ave, Braddock, PA 15104-1856 | 2011-04-20 |
| 1750681953 | Brent Hardman | Internal Medicine | 501 Braddock Ave, Braddock, PA 15104-1856 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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| 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.