Candelaria Castaneda, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301062431 Issued in MI

Legal business name

CANDELARIA CASTANEDA, MD, PLLC

Practice address

729 Trescott St
Harbor Beach, MI 48441-1321

Phone

(989) 479-3116

Fax

(989) 479-3860

NPI assigned

Feb 21, 2008

Last updated

Feb 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Candelaria J M Castaneda, MD

Title

MD

Phone

(989) 479-3116

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1659540953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 TRESCOTT ST",
            "address_2": "P.O. BOX 213",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411321",
            "telephone_number": "989-479-3116",
            "fax_number": "989-479-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 TRESCOTT ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411321",
            "telephone_number": "989-479-3116",
            "fax_number": "989-479-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDELARIA CASTANEDA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "CANDELARIA",
        "authorized_official_middle_name": "J M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "989-479-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3464809",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P92434",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Active Rehabilitation (Active Healthcare Supplies)
• Nicklaus M Bradley, MD
• Daniel W Campbell, DC
• Crystal Marie Caskey
• Elena Colansong, PT
• Concerned Home Care Inc
• Concerned Home Care Outsourcing, LLC (Concerned Outpatient Therapy)
• Lisa Ann Daniels

• Internal Medicine Physician in Harbor Beach, MI
• Providers in Harbor Beach, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.