Active NPI
Philip Lee Cardan, M.D.
- Surgery Physician
- Whitefish, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A35643
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1565 Hill Rd
Novato, CA 94947-4063
Phone (216) 273-9800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 725 |
| Removal of skin lesions | 72 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35643 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound MD PC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.