Carissa Temple Candler, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20774 Issued in OK

Practice address

120 N Bryant Ave
Suite a-6
Edmond, OK 73034-6302

Phone

(405) 285-8172

Fax

(405) 285-8174

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Carrissa Candler MD PLLC

  • Neurological Surgery Physician
  • Edmond, OK
  • NPI 1588912034
  NPD (past)
• Midwest Oncology Group, PLLC

  • Oncology Clinic/Center
  • Midwest City, OK
  • NPI 1346298551
  NPD (past)
• Narayana Pai MD PC

  • Psychiatry Physician
  • Edmond, OK
  • NPI 1548390628
  NPD (past)
• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1992762272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE",
            "address_2": "SUITE A-6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346302",
            "telephone_number": "405-285-8172",
            "fax_number": "405-285-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE",
            "address_2": "SUITE A-6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346302",
            "telephone_number": "405-285-8172",
            "fax_number": "405-285-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDLER",
        "first_name": "CARISSA",
        "middle_name": "TEMPLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "20774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse R. Campbell, MD
• Michayla Anne Campbell, SLP
• Can DO Kids Therapy
• Emma Candelaria, RBT
• Candida Barber, LPC PLLC
• Christopher Asa Candler
• Avery Michelle Cannon, RDN, LD
• Canyon Park Medical Group, PLLC
• Madison Marie Cape
• Jonathan Henry Capelle, MD

• Neurology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.