Individual provider Active NPI

James Canavan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Glendale, AZ
National Provider Identifier
1710930995
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
19964 Issued in AZ
Practice address
16222 N 59TH Ave
Suite a-100
Glendale, AZ 85306-1701
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
May 18, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 19964 AZ Primary

Addresses

Primary practice location

16222 N 59TH Ave
Suite a-100
Glendale, AZ 85306-1701

Mailing address

16222 N 59TH Ave
Suite a-100
Glendale, AZ 85306-1701
Phone (623) 334-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000802 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 0749228955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emil H Annabi MD PC Anesthesiology CurrentSince Jul 27, 2019 Accepting new patients
East Valley Pain Physicians, LLC PastSince Feb 9, 2013 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients
Anesthesia Medical Professionals, PC Past Accepting new patients
Ev Pain Specialists Past Accepting new patients

Locations

13395 N Marana Main St
Fl 2
Marana, AZ 85653
Phone (520) 399-0000

2158 N Gilbert Rd
Ste 121
Mesa, AZ 85203
Phone (480) 461-0150

1310 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 399-6000

2275 W Magee Rd
Ste 111
Tucson, AZ 85742
Phone (520) 399-6000

4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000

6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600

6480 E Broadway Blvd
Tucson, AZ 85710

6840 E Broadway Blvd
Ste 200
Tucson, AZ 85710

Interoperability endpoints

  • Direct secure messaging: jcanavan@pimapaincenter.gwaydirect.com

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1710930995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE A-100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061701",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE A-100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061701",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "19964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.