Joseph Edward Cangas, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036110913 Issued in IL

Practice address

1550 N Main St Ste E
Columbia, IL 62236-1070

Phone

(618) 281-4325

Fax

(618) 281-8393

NPI assigned

Mar 23, 2006

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15395/brand/1/csg/1/fhir/r4
• Direct secure messaging: joseph.cangas@375011865001988.direct.elationemr.com

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

• Illini Pediatrics, LLC

  dba Ideal Pediatrics

  • Primary Care Clinic/Center
  • Columbia, IL
  • NPI 1346207784
  NPD Authorized official
• Allies 4 Health LLC

  • Multi-Specialty Clinic/Center
  • Creve Coeur, MO
  • NPI 1295404283
  NPD Authorized official
• Whole Child Pediatrics, LLC

  • Pediatrics Physician
  • Creve Coeur, MO
  • NPI 1831693381
  NPD Authorized official
• Pediatric Walk-in, LLC

  • Urgent Care Clinic/Center
  • Columbia, IL
  • NPI 1649642547
  Authorized official Same address or phone

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1295795318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE E",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-4325",
            "fax_number": "618-281-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE E",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-4325",
            "fax_number": "618-281-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Legion Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "IL",
            "postal_code": "622362341",
            "country_code": "US",
            "telephone_number": "618-281-4325",
            "fax_number": "618-208-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANGAS",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006007755",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036110913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110913",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Budde
• Torey Byrd, PT, DPT
• C James Anderson DPM LLC
• Ca Group, LLC
• Eric Callison
• Alisa Cates, LCPC
• Chiropro of Columbia, LLC (ChiroPro)
• Martin J Cisneros, D.M.D.
• City of Columbia (City of Columbia Ambulance Service)
• Clarkson Optometry Illinois PC

• Pediatrics Physician in Columbia, IL
• Providers in Columbia, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.