Active NPI
James Candler
- Physician Assistant
- Winter Park, FL
National Provider Identifier
1407302698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109774
- Practice address
- 1561 W Fairbanks Ave
Suite 300
Winter Park, FL 32789-4678 - Phone
- (407) 605-5335
- NPI assigned
- Aug 29, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109774 | FL | Primary |
Addresses
Primary practice location
1561 W Fairbanks Ave
Suite 300
Winter Park, FL 32789-4678
Mailing address
1561 W Fairbanks Ave
Suite 300
Winter Park, FL 32789-4678
Phone (407) 605-5335
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109774 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1407302698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 W FAIRBANKS AVE",
"address_2": "SUITE 300",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894678",
"telephone_number": "407-605-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W FAIRBANKS AVE",
"address_2": "SUITE 300",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894678",
"telephone_number": "407-605-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDLER",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-29",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.