Organization Active NPI

Shawki Kanazi MD PC

  • Internal Medicine Physician
  • Easthampton, MA
National Provider Identifier
1417933151
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHAWKI KANAZI MD PC
Practice address
132 Cottage St
Easthampton, MA 01027-1621
Phone
(413) 527-7577
Fax
(413) 529-0594
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Shawki G Kanazi, MD
Title
President
Phone
(413) 527-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

132 Cottage St
Easthampton, MA 01027-1621

Mailing address

PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000

Other identifiers 2

IdentifierTypeStateIssuer
9748822MedicaidMA
M15845OtherMABLUE CROSS

National Provider Directory

National Provider Directory

Locations

132 Cottage St
Easthampton, MA 01027
Phone (413) 527-7577

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1417933151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560789",
            "telephone_number": "413-509-1000",
            "fax_number": "413-509-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 COTTAGE ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271621",
            "telephone_number": "413-527-7577",
            "fax_number": "413-529-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWKI KANAZI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KANAZI",
        "authorized_official_first_name": "SHAWKI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-527-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9748822",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M15845",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.