Portia V C Canos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35495 Issued in OH

Practice address

1920 S 9TH St
Ironton, OH 45638-2453

Phone

(740) 532-0220

Fax

(740) 532-5088

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1114006608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9085",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159085",
            "telephone_number": "740-532-0220",
            "fax_number": "740-532-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S 9TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382453",
            "telephone_number": "740-532-0220",
            "fax_number": "740-532-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOS",
        "first_name": "PORTIA",
        "middle_name": "V C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35495",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212997",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64212202",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Camden, CDCA
• Charla Danielle Campbell, CDCA
• Heath Campbell
• David Michael Cannon
• Canos and Canos MD Inc
• Rodolfo J Canos Jr., MD
• Dru E Canter
• Samantha Cantrell, CDCA.183803
• Tonya Cantrell
• Amanda Capper, PHARMD

• Family Medicine Physician in Ironton, OH
• Providers in Ironton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.