Lucy R Canaday, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47569-20 Issued in WI

Practice address

107 E Highland Dr
Oconto Falls, WI 54154-1002

Phone

(920) 846-3092

Fax

(920) 846-8313

NPI assigned

Mar 29, 2006

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lcanaday63782@direct.thedacare.org

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.

• Presence Central and Suburban Hospitals Network

  dba PSJMC Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Joliet, IL
  • NPI 1447596630
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1811958028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E HIGHLAND DR",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541002",
            "telephone_number": "920-846-3092",
            "fax_number": "920-846-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Arbutus Ave",
            "address_purpose": "LOCATION",
            "city": "Oconto",
            "state": "WI",
            "postal_code": "541532004",
            "country_code": "US",
            "telephone_number": "920-835-1100",
            "fax_number": "920-835-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 French St",
            "address_purpose": "LOCATION",
            "city": "Peshtigo",
            "state": "WI",
            "postal_code": "541571203",
            "country_code": "US",
            "telephone_number": "715-582-9949",
            "fax_number": "715-582-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANADAY",
        "first_name": "LUCY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47569-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811958028",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932148",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bellin Medical Group
• Bellin Memorial Hospital Inc (FMC Oconto Falls)
• Bellin Psychiatric Center Inc (Bellin Behavior Health-Oconto Falls)
• Bio-Medical Applications of Wisconsin, Inc. (Fresenius Kidney Care Oconto Falls)
• Rozanne Brehmer, RN
• Mackenzie Lynn Champagne
• Lindsay D Cleereman, PA-C
• John Thomas Coates, M.D.
• Heidi M Cole, PHARMD
• Community Memorial Hospital (Community Memorial Hospital Social Services)

• Family Medicine Physician in Oconto Falls, WI
• Providers in Oconto Falls, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.