JASON D. MCCANDLESS (NPI# 1487952834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487952834 |
| Entity Type | Individual |
| Full Name | JASON D. MCCANDLESS |
| Credential | P.A. |
| Practice Address |
910 James Bowie Dr New Boston TX 75570-2335 |
| Mailing Address |
919 Hidden Rdg 6th Floor Irving TX 75038-3813 |
| Practice Telephone | 9036145950 |
| Practice Fax Number | 9036145955 |
| Mailing Telephone | 4692822625 |
| Mailing Fax Number | 4692822655 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07396 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-430 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 284586901 | 05 |
| Street Address |
910 JAMES BOWIE DR |
| City | NEW BOSTON |
| State | TX |
| Zip Code | 75570-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437115805 | Mary P Stanley | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2006-04-25 |
| 1154730166 | Mary Dutchover | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350544 | Thomas Miller Coleman IIi | Pharmacist | 409 Ne Front Street, New Boston, TX 75570 | 2020-06-12 |
| 1134630908 | M & B New Boston, LLC | Assisted Living Facility | 1 Autumn Circle, New Boston, TX 75570 | 2017-10-19 |
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1306225073 | Helping Hands Sitter Service, LLC | Technician | 2650 U.S. State Hwy 82 W, New Boston, TX 75570 | 2015-05-27 |
| 1063821825 | Edwin R Sewell | Dentist | 3389 State Hwy 98, New Boston, TX 75570 | 2014-08-06 |
| 1710038708 | Malta Independent School District | Local Education Agency (LEA) | 6178 W. Hwy 82, New Boston, TX 75570 | 2007-01-16 |
| 1316003155 | Jeffrey P Atkinson | Dentist | 119 N Ellis St, New Boston, TX 75570 | 2006-12-28 |
| 1215092325 | Rx Club of America Pllc | Pharmacy | 10 Chapel Lane, New Boston, TX 75570 | 2006-12-27 |
| 1609940436 | Bobby Royce English | Chiropractor | 308 C Hwy 82 West New Boston Chiropractic Center, New Boston, TX 75570 | 2006-11-20 |
| 1124104179 | Danny K Elkins | Pharmacist | 134 Hwy 82 West, New Boston, TX 75570 | 2006-10-31 |
| Find all providers in zip 75570 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW BOSTON |
| Zip Code | 75570 |
Please comment or provide details below to improve the information on JASON D. MCCANDLESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.