Active NPI
John L Canham, RPA-C
- Physician Assistant
- Rochester, NY
National Provider Identifier
1477536043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006959
- Practice address
- 919 Westfall Rd
BLDG C-100
Rochester, NY 14618-2638 - Phone
- (585) 271-2800
- Fax
- (585) 271-0375
- NPI assigned
- Nov 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Clinical Nurse Specialist | 364SE0003X | 6959 | NY | |
| Physician Assistant | 363A00000X | 006959 | NY | Primary |
Addresses
Primary practice location
919 Westfall Rd
BLDG C-100
Rochester, NY 14618-2638
Mailing address
919 Westfall Rd
BLDG C-100
Rochester, NY 14618-2638
Phone (585) 271-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02650553 | Medicaid | NY | |
| 162597BT | Other | PREFERRED CARE | |
| P019006959 | Other | EXCELLUS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcanham6306@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | jcanham6306@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6959 | NY | MD | Emergency Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard D Merzel, MD PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1992037212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1477536043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 WESTFALL RD",
"address_2": "BLDG C-100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182638",
"telephone_number": "585-271-2800",
"fax_number": "585-271-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 WESTFALL RD",
"address_2": "BLDG C-100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182638",
"telephone_number": "585-271-2800",
"fax_number": "585-271-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANHAM",
"first_name": "JOHN",
"middle_name": "L",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SE0003X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Emergency",
"state": "NY",
"license": "6959",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02650553",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "162597BT",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P019006959",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcanham6306@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcanham6306@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.