Active NPI
James W McCanless, MD
- Anesthesiology Physician
- Pueblo, CO
National Provider Identifier
1528063187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 27112
- Practice address
- 650 Dittmer Ave
Pueblo, CO 81005 - Phone
- (719) 565-2000
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 27112 | CO | Primary |
Addresses
Primary practice location
650 Dittmer Ave
Pueblo, CO 81005
Mailing address
PO Box 1485
Pueblo, CO 81002-1485
Phone (719) 543-8777
Other practice location 1
400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4420
Other practice location 2
400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01271121 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27112 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew J Furman, D.O. LLC | 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.
-
- Pain Medicine Physician
- Pueblo, CO
- NPI 1952739427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1528063187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1485",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810021485",
"telephone_number": "719-543-8777",
"fax_number": "719-543-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 DITTMER AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81005",
"telephone_number": "719-565-2000"
}
],
"practiceLocations": [
{
"address_1": "400 W 16th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810032745",
"country_code": "US",
"telephone_number": "719-584-4420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W 16th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810032745",
"country_code": "US",
"telephone_number": "719-584-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANLESS",
"first_name": "JAMES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "27112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01271121",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.