Individual provider Active NPI

Emily Beck Cannova, PA

  • Surgical Physician Assistant
  • Saginaw, MI
National Provider Identifier
1134767320
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
900 Cooper Suite 4600
Saginaw, MI 48603-5275
Phone
(989) 853-4700
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 5601011045 MI
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

900 Cooper Suite 4600
Saginaw, MI 48603-5275

Mailing address

900 Cooper Suite 4600
Saginaw, MI 48603
Phone (636) 219-9745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329002105 MI Practitioner - Physician Assistant 7911393038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

2919 E Wilder Rd
Bay City, MI 48706-9299

2919 Wilder Rd
Bay City, MI 48706-9299

5570 State St
Suite 2
Saginaw, MI 48603-3582
Phone (989) 583-0100

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

800 Cooper Ave
Suite 4
Saginaw, MI 48602-5371
Phone (989) 583-7380

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 29, 2022 Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 29, 2022 Accepting new patients

Locations

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Ste 4600
Saginaw, MI 48602
Phone (989) 853-4700

800 Cooper Ave
Ste 3
Saginaw, MI 48602
Phone (517) 759-0322

900 Cooper Ave
Ste 4100
Saginaw, MI 48602
Phone (989) 497-9395

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Interoperability endpoints

  • Direct secure messaging: ebeck119456@direct.covenanthealthcare.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1134767320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER SUITE 4600",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "636-219-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER SUITE 4600",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035275",
            "telephone_number": "989-853-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNOVA",
        "first_name": "EMILY",
        "middle_name": "BECK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "5601011045",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.