Active NPI
Ronnie Kanas, M.D.
- Specialist
- Vestal, NY
National Provider Identifier
1265458095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 170710
- Practice address
- 200 Front St
Vestal, NY 13850-1559 - Phone
- (604) 748-7468
- Fax
- (607) 754-6130
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 170710 | NY | Primary |
Addresses
Primary practice location
200 Front St
Vestal, NY 13850-1559
Mailing address
200 Front St
Vestal, NY 13850-1559
Phone (604) 748-7468
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAN170710 | Other | NY | WORKERS COMP |
| 02504 | Other | NY | AMERICAN BOARD OF PAIN ME |
| 01191602 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1265458095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FRONT ST",
"city": "VESTAL",
"state": "NY",
"postal_code": "138501559",
"telephone_number": "604-748-7468",
"fax_number": "607-754-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FRONT ST",
"city": "VESTAL",
"state": "NY",
"postal_code": "138501559",
"telephone_number": "604-748-7468",
"fax_number": "607-754-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAS",
"first_name": "RONNIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "170710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "CAN170710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF PAIN ME",
"identifier": "02504",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01191602",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.