Active NPI
Joseph Ryan Cavaner, M. ED.
- Community Health Worker
- Roseburg, OR
National Provider Identifier
1699039651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 272 NW Medical Loop
Suite C
Roseburg, OR 97471-5597 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- NPI assigned
- Jun 25, 2012
- Last updated
- May 21, 2015
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
272 NW Medical Loop
Suite C
Roseburg, OR 97471-5597
Mailing address
272 NW Medical Loop
Suite E
Roseburg, OR 97471-5597
Phone (541) 440-3532
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
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Clinic, P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1699039651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 NW MEDICAL LOOP",
"address_2": "SUITE E",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974715597",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 NW MEDICAL LOOP",
"address_2": "SUITE C",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974715597",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANER",
"first_name": "JOSEPH",
"middle_name": "RYAN",
"credential": "M. ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
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- Jen Marie Caudill
- Kristie Causey
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- Centennial Medical Group Inc. (Centennial Shaw Heart & Vascular Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.