Esther Grace Pablo Kanayjorn, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35077853-K Issued in OH

Practice address

1092 Jefferson St
Greenfield, OH 45123-8319

Phone

(937) 981-1121

Fax

(937) 981-5660

NPI assigned

Aug 16, 2005

Last updated

Feb 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MP

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Commonwealth Health Center Hospital, Garapan, MP, CCN 660001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment Care Compare group NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• FRS Counseling

  • Community/Behavioral Health Agency
  • Hillsboro, OH
  • NPI 1891055133
  NPD (past)
• Highland District Hospital Professional Services Corporation

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1205893351

  Internal Medicine

  NPD (past)
• Highland District Hospital Professional Services Corporation

  dba Lynchburg Medical Center

  • Rural Health Clinic/Center
  • Lynchburg, OH
  • NPI 1639470388
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1043202187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ERIN COURT",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451330070",
            "telephone_number": "937-393-5781",
            "fax_number": "937-393-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238319",
            "telephone_number": "937-981-1121",
            "fax_number": "937-981-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAYJORN",
        "first_name": "ESTHER",
        "middle_name": "GRACE PABLO",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077853-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID FACILITY #",
            "identifier": "2355053",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE FACILITY #",
            "identifier": "363844",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2214839",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0401451",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000184923",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2122096001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7724279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirthi Kavya Jetty, DO
• Betty C Johnson
• Gary Taylour Johnson
• Leah Johnson
• Brandy M Jordan, MSN, APRN, FNP-C
• Kellis Home
• Kellis Home LLC
• Debra Kennedy
• Julia Rebecca Kent
• Debra Kinnison

• Internal Medicine Physician in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.