Mario A Candal, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD035292L Issued in PA

Practice address

301 S 22ND St
Easton, PA 18042-3811

Phone

(610) 330-3333

Fax

(610) 253-6732

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

Yes

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

• Sacred Heart Healthcare System

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1053373548
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376564435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-330-3333",
            "fax_number": "610-253-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-330-3333",
            "fax_number": "610-253-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDAL",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD035292L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005863610002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Callan, M.S., O.D.
• Gabriela Camacho-Vasconez, LAC
• Danyell Cameron
• Amanda Lynn Campbell, MD
• Kylene K Campbell, PT
• Jennifer Anne Canning, RD-E, MSPA-C
• Vance Cantrell, MD
• Pamela Jeanne Capaldi, LMFT
• Capital Anesthesia Solutions of Pennsylvania LLC
• Helen Capparell, M.S. CCC-SLP

• All providers in Easton, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.