CARISSA CANDLER, MD
NPI 1588912034
Neurological Surgery in Edmond, OK

Active since August 15, 2012
120 N BRYANT AVE STE A6, EDMOND, OK 73034(405) 936-0504(405) 936-0561 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carissa Candler, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA CANDLER, MD (NPI 1588912034) is a healthcare organization registered as a neurological surgery in Edmond, Oklahoma and active in the NPI registry since August 2012. The organization lists Carrissa Candler, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1588912034
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameCARRISSA CANDLER MD PLLC
Location Address120 N BRYANT AVE STE A6Edmond, OK 73034-6300
Mailing Address120 N Bryant Ave Ste A6Edmond, OK 73034-6300 · (405) 936-0504 · Fax (405) 936-0561
Fax(405) 936-0561
Organization SubpartNo
Authorized OfficialCarrissa CandlerMedical Doctor · (405) 936-0504
Enumeration DateAugust 15, 2012
NPI 1588912034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OK · 20774
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
120 N BRYANT AVE STE A6, Edmond, OK 73034

Other Names 1

Doing Business AsCarissa Candler, Md

Other Identifiers 2

Medicaid200166550AOK
Medicare PINOKB5621OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
120 N BRYANT AVE STE A6
EDMOND, OK 73034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrissa Candler MD PLLC's NPI number?

The NPI number for Carrissa Candler MD PLLC is 1588912034. It was assigned to this organization in the NPPES registry on August 15, 2012. The provider is doing business as Carissa Candler, MD.

Where is Carrissa Candler MD PLLC located?

Carrissa Candler MD PLLC is located at 120 N Bryant Ave Ste A6, Edmond, OK 73034. The listed phone number is (405) 936-0504.

What is Carrissa Candler MD PLLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Carrissa Candler MD PLLC was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.