Active NPI
Ophelia Diaz Cansino, M.D.
- Anesthesiology Physician
- Parkersburg, WV
National Provider Identifier
1154317931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 10733
- Practice address
- 800 Garfield Ave
Parkersburg, WV 26101-5340 - Phone
- (304) 424-2590
- Fax
- (304) 422-3924
- NPI assigned
- Sep 27, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 10733 | WV | Primary |
| Anesthesiology Physician | 207L00000X | 35056317 | OH |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5340
Mailing address
3211 Dudley Ave
Parkersburg, WV 26104-1813
Phone (304) 422-3904
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365608 | Medicaid | OH | |
| 0059103000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056317 | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154317931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 DUDLEY AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041813",
"telephone_number": "304-422-3904",
"fax_number": "304-422-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015340",
"telephone_number": "304-424-2590",
"fax_number": "304-422-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANSINO",
"first_name": "OPHELIA",
"middle_name": "DIAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "10733",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35056317",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365608",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0059103000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.