Ann Marie C Canelas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5566237-1205 Issued in UT

Practice address

VA SLC HCS # 111
500 Foothill Drive
Salt Lake City, UT 84148-0001

Phone

(801) 339-9242

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1457438475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA SLC HCS # 111",
            "address_2": "500 FOOTHILL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SLC HCS # 111",
            "address_2": "500 FOOTHILL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-339-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELAS",
        "first_name": "ANN MARIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5566237-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mark Canann, PHARM.D.
• Cancer Survivor Health Network, L.L.C.
• Cancer Wellness House, Inc.
• Meghan Sullivan Candee, MD, MS
• Angelica Candelaria
• Charlotte Ann Canella, MED LCPC
• Steven M Canfield, D.D.S.
• Nazife Canitez
• Rebeca Chantel Cannaday
• Breana Cannon

• Internal Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.