Gary M. Candelaria, D.O.
Individual provider Active NPI Family Medicine Physician · Colfax, WA
NPI 1972583722 · NPPES record last updated Oct 14, 2008
Key facts
- NPI
- 1972583722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP00001974 (WA)
- Practice address
- 1210 W Fairview St
Colfax, WA 99111-9552 - Phone
- (509) 397-4717
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.88 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001974 | WA | MD | Family Medicine Physician |
| 00000000000 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001974 | WA | Yes |
Addresses
Primary practice location
1210 W Fairview St
Colfax, WA 99111-9552
Mailing address
1210 W Fairview St
Colfax, WA 99111-9552
Phone (509) 397-4717
Other providers in Colfax, WA
- Jennifer Lin Bledsoe
- Lyubov Bozhinova
- Irene Bozi
- Surya Brown-Moffitt
- Buris Medical Equipment Inc
- Alison Lee Carriger
- Colfax of Cascadia, LLC
- Colfax School District
- Brent Logan Conrad
- Kevin Constantin
All providers in Colfax, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.