Individual provider Active NPI

Philip Lee Cardan, M.D.

  • Surgery Physician
  • Whitefish, MT
National Provider Identifier
1134446966
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A35643 Issued in CA
Practice address
704C East 13TH Street
Suite 220
Whitefish, MT 59937-2981
Phone
(406) 755-7050
NPI assigned
May 4, 2010
Last updated
Feb 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A35643 CA Primary

Addresses

Primary practice location

704C East 13TH Street
Suite 220
Whitefish, MT 59937-2981

Mailing address

704C East 13TH Street
Suite 220
Whitefish, MT 59937-2981
Phone (406) 755-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003621 CA Practitioner - General Surgery 9133420144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound MD PCGroup PAC ID 8820314529, 15 clinicians

Practice addresses (Care Compare)

1565 Hill Rd
Novato, CA 94947-4063
Phone (216) 273-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue725
Removal of skin lesions72
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35643CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound MD PC CurrentSince Sep 20, 2022 Accepting new patients

Locations

2211 Mount Vernon Ave
Bakersfield, CA 93306
Phone (502) 596-7588

1100 Trousdale Dr
Burlingame, CA 94010
Phone (650) 692-1967

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12023 Lakewood Blvd
Downey, CA 90242
Phone (562) 869-0978

1340 E Madison Ave
El Cajon, CA 92021
Phone (619) 441-1020

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

1665 M St
Fresno, CA 93721
Phone (559) 268-5361

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

1565 Hill Rd
Novato, CA 94947
Phone (415) 461-9700

1400 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 351-0745

9020 Garfield St
Riverside, CA 92503
Phone (951) 688-8200

1601 5th Ave
San Rafael, CA 94901
Phone (415) 456-7170

1209 Hemlock Way
Santa Ana, CA 92707
Phone (714) 546-1966

1311 E Date St
Sn Bernrdno, CA 92404
Phone (909) 543-5387

5800 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1134446966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704C EAST 13TH STREET",
            "address_2": "SUITE 220",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372981",
            "telephone_number": "406-755-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704C EAST 13TH STREET",
            "address_2": "SUITE 220",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372981",
            "telephone_number": "406-755-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAN",
        "first_name": "PHILIP",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A35643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.