Individual provider Active NPI

Patrick Canning, MB,BCH.BAO.

  • Obstetrics & Gynecology Physician
  • Haslett, MI
National Provider Identifier
1043649015
Registry record updated Nov 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301031361 Issued in MI
Practice address
1129 Woodwind TRL
Haslett, MI 48840-8956
Phone
(517) 339-2630
NPI assigned
Nov 10, 2013
Last updated
Nov 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301031361 MI Primary

Addresses

Primary practice location

1129 Woodwind TRL
Haslett, MI 48840-8956

Mailing address

1129 Woodwind TRL
Haslett, MI 48840-8956
Phone (517) 339-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4301031361MIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384041600000",
    "number": "1043649015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 WOODWIND TRL",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408956",
            "telephone_number": "517-339-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 WOODWIND TRL",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408956",
            "telephone_number": "517-339-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MB,BCH.BAO.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-10",
        "last_updated": "2013-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301031361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.