Provider Demographics
NPI:1639799653
Name:MOREHART, CANDICE RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:RAE
Last Name:MOREHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDICE
Other - Middle Name:RAE
Other - Last Name:VOLNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:330-375-6925
Mailing Address - Fax:234-999-6862
Practice Address - Street 1:155 FIFTH ST NE
Practice Address - Street 2:SUMMA HEALTH/ FAMILY RESIDENCY
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203
Practice Address - Country:US
Practice Address - Phone:330-615-3205
Practice Address - Fax:330-761-6469
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.148251208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist