Canyon Medical Center, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CANYON MEDICAL CENTER, INC.

Practice address

5969 E Broad St
Suite 200
Columbus, OH 43213-1546

Phone

(614) 864-6010

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Carrie Foster

Title

Administrative Assistant

Phone

(614) 864-6010

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1154514123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-864-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-864-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "614-864-6010"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595486",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Canup, PTA
• Mindy Jo Canupp, OTR/L
• Canyon Eye Associates, Inc.
• Canyon Eye Optical LLC
• Canyon Medical Center Inc
• Bachvan Thi Cao, RPH
• Lei Cao, MSW, LISW-S
• Qizhi Cao, APRN-CNP
• Yan Cao, M.D.
• Cap City Supported Living & Home Care Services

• Clinical Medical Laboratory in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.