Active NPI
Simon O Cano Jr., P. A.
- Physician Assistant
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2901
- Practice address
- 1100 S Coulter St
Amarillo, TX 79106-1836 - Phone
- (806) 468-9700
- Fax
- (806) 468-9771
- NPI assigned
- Jul 10, 2006
- Last updated
- Apr 5, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2901 | TX | Primary |
Addresses
Primary practice location
1100 S Coulter St
Amarillo, TX 79106-1836
Mailing address
1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H3729 | Other | TX | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 30.05 of 100
- Quality
- 27.83
- Promoting interoperability
- 0
- Improvement activities
- 10
- Cost
- 59.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2901 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Anesthesia Services LLP | Past | Accepting new patients | |
| Robert W. Paige M. D. P. a. | Past | Accepting new patients |
Interoperability endpoints
- scano84258@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Amarillo, TX
- NPI 1871784652
-
- Anesthesiology Physician
- Amarillo, TX
- NPI 1174738371
-
- Pain Medicine (Anesthesiology) Physician
- Amarillo, TX
- NPI 1508896739
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
dba Parmer Medical Center
- Critical Access Hospital
- Friona, TX
- NPI 1861475626
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1912948845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1861426124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061836",
"telephone_number": "806-468-9700",
"fax_number": "806-468-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061836",
"telephone_number": "806-468-9700",
"fax_number": "806-468-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANO",
"first_name": "SIMON",
"middle_name": "O",
"name_suffix": "Jr.",
"credential": "P. A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA2901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8H3729",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.