Cathy White Canty, M.D.
Individual provider Active NPI Family Medicine Physician · Twin Falls, ID
NPI 1013974658 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1013974658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-9088 (ID)
- Practice address
- 388 Martin St
Twin Falls, ID 83301-4544 - Phone
- (208) 734-0451
- Fax
- (208) 734-0452
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Services Corporation
Practice addresses (Care Compare)
388 Martin St
Twin Falls, ID 83301-4544
Phone (208) 734-0451
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019001039 | ID | Practitioner - Family Practice | 5698736155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-9088 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Family Medicine | Current | Accepting new patients |
| Family Health Services Corporation | Current |
Accepting new patients | |
| Family Health Services Corporation | Current |
Accepting new patients | |
| Family Health Services Corporation | Family Medicine | Current | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Current | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Current | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| St. Luke'S Magic Valley Regional Medical Center, LTD. | Past | Accepting new patients | |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Family Medicine | Past | Accepting new patients |
Locations
621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145
725 Fair St
Buhl, ID 83316
Phone (208) 543-8271
1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198
114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471
218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471
402 6th St
Rupert, ID 83350
Phone (208) 650-7941
651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224
388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451
794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312
325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- cathy.canty.p1@direct.fhsid.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-9088 | ID | Yes |
Addresses
Primary practice location
388 Martin St
Twin Falls, ID 83301-4544
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718
Other providers in Twin Falls, ID
- Logan Matthew Campbell
- Madison Christine Campbell
- Leanne Campeau
- Michael J Cannon
- Ronald Cantone
- Canyon Foot & Ankle Specialists PC
- Canyon Hand Therapy Inc.
- Canyon Primary Care LLC
- Canyon Springs Chiropractic Wellness Center PLLC
- Canyon Springs Senior Living, Inc.
All providers in Twin Falls, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.