Shannon Canas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42292 Issued in MN

Practice address

1000 Westgate Dr
Suite 149
Saint Paul, MN 55114-8612

Phone

(651) 641-2900

Fax

(651) 641-2901

NPI assigned

Jun 25, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1619903093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTGATE DR",
            "address_2": "SUITE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551148612",
            "telephone_number": "651-641-2900",
            "fax_number": "651-641-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTGATE DR",
            "address_2": "SUITE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551148612",
            "telephone_number": "651-641-2900",
            "fax_number": "651-641-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "42292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie K Campbell
• Terry Campbell, MA, LPCC
• Claudia Campo-Soria, MD
• Mayra Irene Campos, RN
• Ulas Mehmet Camsari, M.D.
• Mallory Candell, LMFT
• Suzanne Beth Candell, PHD, LP
• Canfield Chiropractic LLC
• Jody Lynn Canniff, RN
• Susan Jane Canniff, RPH

• Internal Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.