Individual provider Active NPI

Caitriona Canning

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1467902403
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.028969 Issued in OH
Practice address
1961 E 123Rd St
Apt 2
Cleveland, OH 44106-4344
Phone
(216) 544-2856
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.028969 OH Primary

Addresses

Primary practice location

1961 E 123Rd St
Apt 2
Cleveland, OH 44106-4344

Mailing address

1961 E 123Rd St
Apt 2
Cleveland, OH 44106-4344
Phone (216) 544-2856

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57.028969OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1467902403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 E 123RD ST",
            "address_2": "APT 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064344",
            "telephone_number": "216-544-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 E 123RD ST",
            "address_2": "APT 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064344",
            "telephone_number": "216-544-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "CAITRIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.028969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.