Provider Demographics
NPI:1982627923
Name:MCCANDLESS, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:MCCANDLESS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:464 ALLEGHENY BLVD
Practice Address - Street 2:PENNWOOD CENTER, SUITE 2D
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-6210
Practice Address - Country:US
Practice Address - Phone:724-458-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021804E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007193410005Medicaid
PA152657OtherBLUE SHIELD HIGHMARK
PAP00396503Medicare PIN
B40000Medicare UPIN
PA0007193410005Medicaid