Individual provider Active NPI

Michael John McCandless, AUD

  • Audiologist
  • Exton, PA
National Provider Identifier
1497916936
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006163 Issued in PA
Practice address
407 W Lincoln Hwy
Ste 50
Exton, PA 19341-2521
Phone
(610) 363-1340
Fax
(610) 363-9694
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AZ538 FL
Audiologist 231H00000X AT006163 PA Primary

Addresses

Primary practice location

407 W Lincoln Hwy
Ste 50
Exton, PA 19341-2521

Mailing address

407 W Lincoln Hwy
Ste 50
Exton, PA 19341-2521
Phone (610) 363-1340

Other identifiers 2

IdentifierTypeStateIssuer
103215047-0001MedicaidPA
BB968ZOtherFLMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150408001796 PA Practitioner - Qualified Audiologist 8628130846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Ear, Nose and Throat PCGroup PAC ID 1456408913, 3 clinicians

Practice addresses (Care Compare)

21 Industrial Blvd
Suite 204
Paoli, PA 19301-1610
Phone (610) 647-3727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ538FLMDAudiologist
AT006163PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Ear, Nose & Throat, PC Audiologist CurrentSince Nov 1, 2014 Accepting new patients
Associates in Audiology of Chester County Audiologist CurrentSince Nov 1, 2016 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Apr 1, 2023 Accepting new patients
Hearsay ENT Docs LLC PastSince May 3, 2020 Accepting new patients

Locations

407 W Lincoln Hwy
Ste 50
Exton, PA 19341
Phone (610) 363-1340

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

3000 Valley Forge Cir
Ste 3350
King of Prussia, PA 19406
Phone (215) 659-7759

1215 W Baltimore Pike
Ste 4
Media, PA 19063
Phone (610) 565-0906

21 Industrial Blvd
Ste 204
Paoli, PA 19301
Phone (610) 647-2747

21 Industrial Blvd
Ste 205
Paoli, PA 19301
Phone (610) 296-5600

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1497916936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W LINCOLN HWY",
            "address_2": "STE 50",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412521",
            "telephone_number": "610-363-1340",
            "fax_number": "610-363-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W LINCOLN HWY",
            "address_2": "STE 50",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412521",
            "telephone_number": "610-363-1340",
            "fax_number": "610-363-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AZ538",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103215047-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "BB968Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.