Active NPI
Michael John McCandless, AUD
- Audiologist
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103215047-0001 | Medicaid | PA | |
| BB968Z | Other | FL | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AZ538 | FL | MD | Audiologist |
| AT006163 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Ear, Nose & Throat, PC | Audiologist | Current | Accepting new patients |
| Associates in Audiology of Chester County | Audiologist | Current | Accepting new patients |
| Pinnacle ENT Alliance LLC | Current | Accepting new patients | |
| Hearsay ENT Docs LLC | Past | 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.
-
- Audiologist
- Exton, PA
- NPI 1730425000
-
- Facial Plastic Surgery Physician
- Paoli, PA
- NPI 1780830620
Audiologist
-
- Otolaryngology/Facial Plastic Surgery Physician
- Wayne, PA
- NPI 1538230313
-
- Otolaryngology Physician
- Media, PA
- NPI 1962649780
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.