Active NPI
Richard Ney Canaan, MD
- Orthopaedic Surgery Physician
- Port Angeles, WA
National Provider Identifier
1497958359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD00032574
- Practice address
- 909 Georglanee Street
Vimo Clinic
Port Angeles, WA 98362-4709 - Phone
- (360) 457-4431
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00032574 | WA | Primary |
Addresses
Primary practice location
909 Georglanee Street
Vimo Clinic
Port Angeles, WA 98362-4709
Mailing address
1311 East Fifth Street
Port Angeles, WA 98362
Phone (360) 457-6985
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032574 | WA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497958359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 EAST FIFTH STREET",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98362",
"telephone_number": "360-457-6985",
"fax_number": "360-457-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 GEORGLANEE STREET",
"address_2": "VIMO CLINIC",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624709",
"telephone_number": "360-457-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAAN",
"first_name": "RICHARD",
"middle_name": "NEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00032574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
- Cammacks Pharmacies Inc (Cammacks Clinical Services)
- Cammacks Pharmacies Inc (Jims Pharmacy)
- Cammacks Pharmacies Inc (Jims Pharmacy and Home Health)
- Cammacks Pharmacies Inc (Jim's Pharmacy)
- Leslie Ann Campbell, LMP
- Canoga Medical Supply, Inc
- Cardiff Beach, LLC (Olympic View Post Acute)
- Caregivers Home Health
- Caregivers Home Health, Inc
- Carlile Birch Noble Cramer PLLC (Eleven Eleven Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.