Active NPI
Guillermo J Candia, MD
- Neurological Surgery Physician
- Lewiston, ME
National Provider Identifier
1336128073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 015244
- Practice address
- 12 High St
Ste 401
Lewiston, ME 04240-7634 - Phone
- (207) 795-5767
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 015244 | ME | Primary |
Addresses
Primary practice location
12 High St
Ste 401
Lewiston, ME 04240-7634
Mailing address
12 High St
Ste 401
Lewiston, ME 04240-7634
Phone (207) 795-5767
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015244 | ME | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1336128073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407634",
"telephone_number": "207-795-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407634",
"telephone_number": "207-795-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDIA",
"first_name": "GUILLERMO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ME",
"license": "015244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.