Candor Clinicians PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CANDOR CLINICIANS PA

Practice address

153 E Monte Painter Dr
Fayetteville, AR 72703-4002

Phone

(479) 601-2314

Fax

(888) 664-5545

NPI assigned

Aug 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kennetha Carder

Title

Office Manager

Phone

(479) 601-2314

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhargav Thangali Varadaraju, MD

  • Hospitalist Physician
  • Fayetteville, AR
  • NPI 1982859351
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1083380372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 W WARBAL TRL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588095",
            "telephone_number": "479-601-2314",
            "fax_number": "888-664-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MONTE PAINTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034002",
            "telephone_number": "479-601-2314",
            "fax_number": "888-664-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR CLINICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "KENNETHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-601-2314"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadie Campbell
• Lucas Kyle Campbell, MD
• Sara Louise Campbell, LPC
• Sarah Anne Campbell, DNP, AGAC-BC
• Kevin Bryce Campos, DC
• Robert David Cannon, M.D.
• Michele Yvette Cantu, MD
• Capital Anesthesia Solutions of Arkansas, LLC
• Jennifer D Capps
• John A Capwell, MHPP

• All providers in Fayetteville, AR
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.