Carissa T Candler (NPI# 1992762272, PAC ID# 5597747352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1992762272 |
| PAC ID by PECOS | 5597747352 |
| Professional Enrollment ID | I20090707000059 |
| Full Name | Carissa T Candler |
| Organization Legal Name | CARISSA CANDLER MD PLLC |
| Address |
120 N Bryant Ave Suite A 6 Edmond OK 73034-6302 |
| Phone Number | 4052858172 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | PSYCHIATRY |
| Group Practice PAC ID | 4082840582 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370220 | ONECORE HEALTH |
| 370013 | MERCY HOSPITAL OKLAHOMA CITY, INC |
| 370093 | O U MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 N Bryant Ave, Suite A 6, Edmond, OK 73034-6302 | 4052858172 | CARISSA CANDLER MD PLLC |
| 120 N Bryant Ave, Edmond, OK 73034-6302 | 4052858172 | CARISSA CANDLER MD PLLC |
| Organization Legal Name | CARISSA CANDLER MD PLLC |
| Physicians | 1 |
| Street Address |
120 N BRYANT AVE SUITE A 6 |
| City | EDMOND |
| State | OK |
| Zip | 73034-6302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Tubbesing | Nurse Practitioner | Ltac Hospital of Edmond, LLC | 1100 E 9th St, Edmond Amg Specialty Hospital LLC, Edmond, OK 73034-0000 |
| Erich H Muckala | Diagnostic Radiology | Kettering Network Radiologists Inc | 5000 Tower Bridge Ct, Edmond, OK 73034-0857 |
| Wenjia Zeng | Physical Medicine and Rehabilitation | 1964 Bella Sera Dr, Edmond, OK 73034-2516 | |
| Nitin Sawheny | Internal Medicine | 2074 Bella Sera Dr, Edmond, OK 73034-2525 | |
| Aamir Mohammad | General Practice | In Patient Care Physician Services LLC | 1409 Territories Dr, Edmond, OK 73034-2650 |
| Murray O Hamilton | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2114 Chiswick Rd, Edmond, OK 73034-2930 |
| William J Hale Ii | Orthopedic Surgery | 941 W I-35 Frontage Rd, Suite A D, Edmond, OK 73034-2994 | |
| Wendy Louise Parks | Nurse Practitioner | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Walter Scott Waugh Iii | Sports Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Ashlee M Waugh | Family Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Find all physicians in zip 73034 | |||
| City | EDMOND |
| Zip Code | 73034 |
| Specialty | NEUROLOGY |
| City + Specialty | EDMOND + NEUROLOGY |
Please comment or provide details below to improve the information on Carissa T Candler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.