Active NPI
Thomas William Kandell, M.D.
- Internal Medicine Physician
- Laredo, TX
National Provider Identifier
1487748877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 056852
- Practice address
- 220 N. Zapata Hwy
11A
Laredo, TX 78043 - Phone
- (727) 490-1785
- Fax
- (912) 527-1153
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056852 | GA | Primary |
Addresses
Primary practice location
220 N. Zapata Hwy
11A
Laredo, TX 78043
Mailing address
220 N. Zapata Hwy
11A
Laredo, TX 78043
Phone (727) 490-1785
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 |
|---|---|---|---|
| 056852 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Medhelp PC | Past | Accepting new patients |
Locations
117 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFFAA
- https://api.platform.athenahealth.com/17217/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Reidsville, GA
- NPI 1093754905
-
- Urgent Care Clinic/Center
- Bristol, CT
- NPI 1053302646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1487748877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N. ZAPATA HWY",
"address_2": "11A",
"city": "LAREDO",
"state": "TX",
"postal_code": "78043",
"telephone_number": "727-490-1785",
"fax_number": "912-527-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N. ZAPATA HWY",
"address_2": "11A",
"city": "LAREDO",
"state": "TX",
"postal_code": "78043",
"telephone_number": "727-490-1785",
"fax_number": "912-527-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDELL",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.