| Timothy Mark Candelaria, CRNA | |
|
1631 Hospital Dr, Santa Fe, NM 87505-4728 | |
| (505) 323-7200 | |
| (505) 323-7206 |
| Full Name | Timothy Mark Candelaria |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1631 Hospital Dr, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215375951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R53366 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 167 |
| Entity Name | Southwest Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902931728 PECOS PAC ID: 2062316086 Enrollment ID: O20031121000394 |
| Entity Name | Anesthesia Associates Of New Mexico P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Mark Candelaria, CRNA 1631 Hospital Dr, Santa Fe, NM 87505-4728 Ph: (505) 983-3275 | Timothy Mark Candelaria, CRNA 1631 Hospital Dr, Santa Fe, NM 87505-4728 Ph: (505) 323-7200 |
Ms. Mary Eileen Rodkey, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505 Phone: 505-323-7200 | |
David Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-983-3361 | |
Sarah Louise Dufort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-3361 | |
Ms. Kathleen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505 Phone: 505-820-5554 Fax: 505-820-5440 | |
Ying Xiong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-913-5368 | |
Rachel Haase Donahue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505 Phone: 480-206-7691 | |
Mr. James Humphrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5554 |