Individual provider Active NPI

Candace Ann Tesch, M.D.

  • Pediatrics Physician
  • Arnold, MD
National Provider Identifier
1225104391
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0058851 Issued in MD
Practice address
1460 Ritchie Hwy
Arnold, MD 21012-2730
Phone
(410) 789-7337
Fax
(410) 789-0425
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0058851 MD Primary

Addresses

Primary practice location

1460 Ritchie Hwy
Arnold, MD 21012-2730

Mailing address

1901 Hidden Point Rd
Annapolis, MD 21409-6001

Other practice location 1

605 Global Way
Suite 119
Linthicum, MD 21090-2222
Phone (410) 789-7337

Other identifiers 4

IdentifierTypeStateIssuer
7449424OtherMDAETNA PPO
401058200MedicaidMD
38940012OtherMDBCBS
8700051OtherMDAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058851MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Pediatrics, PA Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1460 Ritchie Hwy
Arnold, MD 21012
Phone (410) 626-8350

605 Global Way
Ste 119
Linthicum Heights, MD 21090
Phone (410) 789-7337

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7466/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1225104391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIDDEN POINT RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214096001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122730",
            "telephone_number": "410-789-7337",
            "fax_number": "410-789-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Global Way",
            "address_2": "Suite 119",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902222",
            "country_code": "US",
            "telephone_number": "410-789-7337",
            "fax_number": "410-789-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESCH",
        "first_name": "CANDACE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7449424",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401058200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38940012",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8700051",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.