DR. JEROME CANADY M.D. NPI 1467504415

NPI Information

NPI: 1467504415
Provider Name: DR. JEROME CANADY, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
106 IRVING ST NW
SUITE 406
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-0532
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DR. Jerome Canady, M.D. is a transplant surgery in Washington, DC. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Jerome Canady, M.D. NPI is 1467504415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

106 IRVING ST NW
SUITE 406
WASHINGTON, DC
ZIP 20010-927
Phone: (202) 877-0532
Fax: (412) 877-9088

The NPI 1467504415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 11/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086X0206X	Surgery	Surgical Oncology	14115	DISTRICT OF COLUMBIA	No
2	208600000X	Surgery		14115	DISTRICT OF COLUMBIA	No
3	204F00000X	Transplant Surgery		14115	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	101963446002	MEDICAID	PENNSYLVANIA
2	C87786	MEDICARE UPIN	PENNSYLVANIA
3	093942	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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