Gus D Canaday Jr., ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0067546 Issued in OK

Practice address

1312 S Garnett Rd
Suite E
Tulsa, OK 74128-1811

Phone

(918) 437-2500

Fax

(918) 437-2535

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1215977798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 S GARNETT RD",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281811",
            "telephone_number": "918-437-2500",
            "fax_number": "918-437-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 S GARNETT RD",
            "address_2": "SUITE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281811",
            "telephone_number": "918-437-2500",
            "fax_number": "918-437-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAY",
        "first_name": "GUS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0067546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171360B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis D Campbell, DO
• William Robert Campbell, MD
• Shelly Campfield, APRN
• Laura C Campion, MD
• Eric Michael Canaday, D.O.
• Michael Terry Canaday, PHARMACIST
• Zachary Stanley Canaday, D.O.
• Bennette Canady
• Mayra Gabriela Canales Sebastian, LCSW
• Jailene Suset Canales

• All providers in Tulsa, OK
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.