Individual provider Active NPI

Joseph A Cardello, P.A.

  • Surgical Physician Assistant
  • Cushing, OK
National Provider Identifier
1477519809
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA623 Issued in OK
Practice address
2340 E Main St
Cushing, OK 74023-2905
Phone
(918) 225-6904
Fax
(918) 225-4559
NPI assigned
Apr 25, 2006
Last updated
Sep 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA623 OK Primary

Addresses

Primary practice location

2340 E Main St
Cushing, OK 74023-2905

Mailing address

2340 E Main St
Cushing, OK 74023-2905
Phone (918) 225-6904

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA623OKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Pearce, M.D., Inc. Past Accepting new patients
Surgical Specialists of Oklahoma Past Accepting new patients

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1477519809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232905",
            "telephone_number": "918-225-6904",
            "fax_number": "918-225-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232905",
            "telephone_number": "918-225-6904",
            "fax_number": "918-225-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "PA623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cushing, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.