Michael Decandia M.D.,P.a.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K3152 Issued in TX

Legal business name

MICHAEL DECANDIA M.D.,P.A.

Practice address

5325 S McColl Rd Ste a
Edinburg, TX 78539-9168

Phone

(956) 686-4422

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Michael Decandia, M.D.

Title

Owner

Phone

(956) 581-0303

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1366630972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 S MCCOLL RD STE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-686-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 S MCCOLL RD STE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-686-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DECANDIA M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "DECANDIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-581-0303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K3152",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "K3152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044283202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145163501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.