Individual provider Active NPI

Paul B Canale, M.D.

  • Orthopaedic Surgery Physician
  • Daphne, AL
National Provider Identifier
1710973490
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26090 Issued in AL
Practice address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone
(251) 625-2663
Fax
(251) 625-3198
NPI assigned
Sep 27, 2005
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26090 AL
Orthopaedic Surgery Physician 207X00000X 26090 AL Primary

Addresses

Primary practice location

1505 Daphne Ave
Daphne, AL 36526-4298

Mailing address

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Other identifiers 2

IdentifierTypeStateIssuer
51523211OtherALBCBS
051523211MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000615 AL Practitioner - Orthopedic Surgery 4688637648 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26090ALMDOrthopaedic Surgery Physician
30480AZMDPhysical Therapist
30488AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C Orthopaedic Surgery CurrentSince Sep 1, 2004 Accepting new patients
Northern Arizona Orthopaedics, LTD. Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Columbia Orthopaedic Group, LLP Orthopaedic Surgery Past Accepting new patients

Locations

1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663

Organizations & group practices 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1710973490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALE",
        "first_name": "PAUL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "26090",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "26090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51523211",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051523211",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.