Canady Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD093942 Issued in PA

Legal business name

CANADY SURGICAL ASSOCIATES PC

Practice address

100 Stoops Drive
Suite 230
Monongahela, PA 15063-3556

Phone

(724) 483-3639

Fax

(724) 483-3758

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Jerome Canady, M.D.

Title

President

Phone

(724) 483-3639

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Lynn Mondik, MD

  • Surgery Physician
  • Machesney Park, IL
  • NPI 1538426580
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1124200951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DRIVE",
            "address_2": "SUITE 230",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-3639",
            "fax_number": "724-483-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DRIVE",
            "address_2": "SUITE 230",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633556",
            "telephone_number": "724-483-3639",
            "fax_number": "724-483-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADY SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-483-3639",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD093942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019634460002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Claire Brough
• Lisa Brown, SL
• Kayla D Burris, MSW
• Denver L Byron, OTR CHT
• Susan E Campus, RN
• Guido Candelore, P.T.
• Heather Cappello
• Marshall S Carlin, D.O.
• Diana Carrola, DO
• Devon Marie Carson, CRNP

• Surgery Physician in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.