CARISSA CANDLER MD PLLC (NPI# 1740626365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740626365 |
| Entity Type | Organization |
| Organization Name | CARISSA CANDLER MD PLLC |
| Practice Address |
120 N Bryant Ave Suite A-6 Edmond OK 73034-6302 |
| Practice Telephone | 4052858172 |
| Practice Fax Number | 4052858174 |
| Mailing Telephone | 4052858172 |
| Mailing Fax Number | 4052858174 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | CARISSA CANDLER (MD) |
| Authorized Official Telephone | 4052858172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
120 N BRYANT AVE SUITE A-6 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762272 | Carissa Temple Candler | Psychiatry & Neurology | 120 N Bryant Ave, Suite A-6, Edmond, OK 73034-6302 | 2006-04-28 |
| 1205245826 | The Lamkin Clinic | Family Medicine | 120 N Bryant Ave, Suite A9, Edmond, OK 73034-6302 | 2014-08-07 |
| 1144645672 | Leslie K. Sitton | Dietitian, Registered | 120 N Bryant Ave, Suite A-9, Edmond, OK 73034-6025 | 2014-02-20 |
| 1013339399 | Nina Brumley | Dietitian, Registered | 120 N Bryant Ave, Suite A9, Edmond, OK 73034-6302 | 2014-01-06 |
| 1205271541 | Advanced Nutrition Consultants | Dietitian, Registered | 120 N Bryant Ave, Suite A-9, Edmond, OK 73034-6302 | 2013-04-30 |
| 1194169532 | Jennifer Kolbensvik | Dietitian, Registered | 120 N Bryant Ave, Suite A-9, Edmond, OK 73034-6302 | 2013-04-27 |
| 1093086654 | Jacquelyn Renae Travers | Pharmacist | 120 N Bryant Ave, Edmond, OK 73034-6302 | 2012-01-13 |
| 1922250786 | Deanna Fugate Warzel | Pharmacist | 120 N Bryant Ave, Edmond, OK 73034-6302 | 2008-10-10 |
| 1821143215 | Homer Duane Lawrence | Pharmacist | 120 N Bryant Ave, Edmond, OK 73034-6302 | 2007-01-24 |
| 1912066770 | Susan Lee Isaacs | Pharmacist | 120 N Bryant Ave, Edmond, OK 73034-6302 | 2006-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558658138 | J Dustin Rosenhamer | Psychiatry & Neurology | 2216 Nw 164th St, Ste A, Edmond, OK 73013-9078 | 2011-07-05 |
| 1952587503 | Amer Badreden Nouh | Psychiatry & Neurology | 1417 Nw 150th St, Edmond, OK 73013-1305 | 2008-01-14 |
| 1750594099 | Travis Kanaly | Psychiatry & Neurology | 1705 Renaissance Blvd Ste 120, Edmond, OK 73013 | 2007-05-07 |
| 1740215169 | David L Smith | Psychiatry & Neurology | 1257 E 33rd St, Edmond, OK 73013-6307 | 2006-07-12 |
| 1992762272 | Carissa Temple Candler | Psychiatry & Neurology | 120 N Bryant Ave, Suite A-6, Edmond, OK 73034-6302 | 2006-04-28 |
| 1659678340 | Ellen E Hope M D Inc | Psychiatry & Neurology | 125 E 3rd St, Edmond, OK 73034-3821 | 2011-02-16 |
| 1184952798 | Deborah L. Nilson, Do PC | Psychiatry & Neurology | 3855 S Boulevard St, Suite 400, Edmond, OK 73013-5498 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110478 | Noor Mahmoud | Psychiatry & Neurology | 825 Ne 10th St Ste 5200, Oklahoma City, OK 73104-5417 | 2020-06-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1295229268 | Veronica Astrid Moreno Gomez | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp-2040, Oklahoma City, OK 73104-5036 | 2018-06-21 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1033632716 | Sergio Ramirez | Psychiatry & Neurology | 920 Staton L. Young Blvd., Suite Wp-2040, Oklahoma City, OK 73104 | 2017-07-25 |
| 1407376890 | Temitope Ayodeji Lawal | Psychiatry & Neurology | 920 Stanton L Young Blvd # W2040, Oklahoma City, OK 73104-5036 | 2017-06-26 |
| 1932637030 | Marina Aleksandrovna Kravtsova | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp2040, Oklahoma City, OK 73104-5036 | 2017-06-01 |
| 1013379627 | Pono Neuromonitoring, Pllc | Psychiatry & Neurology | 3334 W Main St # 518, Norman, OK 73072-4805 | 2016-03-23 |
| 1255710117 | Jason King | Psychiatry & Neurology | 226 Se Debell Ave Ste B, Bartlesville, OK 74006-2300 | 2015-05-26 |
| 1508256165 | George Alexander Curry II | Psychiatry & Neurology | 9615 Prosper Dr, Oklahoma City, OK 73151-8801 | 2015-02-03 |
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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.