NPIMap

Individual provider Active NPI

Leander Cannick III, M.D.

  • Radiation Oncology Physician
  • Anderson, SC
National Provider Identifier
1881705671
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30455 Issued in SC
Practice address
2000 E Greenville St
Anderson, SC 29621-1580
Phone
(864) 512-4600
Fax
(864) 512-4621
NPI assigned
Aug 31, 2006
Last updated
Oct 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 30455 SC Primary
General Practice Physician 208D00000X 200401182 NC

Addresses

Primary practice location

2000 E Greenville St
Anderson, SC 29621-1580

Mailing address

2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000741 SC Practitioner - Radiation Oncology 4486800679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiation Oncology PAGroup PAC ID 0446294607, 2 clinicians

Practice addresses (Care Compare)

2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401182NCMDGeneral Practice Physician
30455SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Radiation Oncology PA Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients
Anmed Health PastSince Jan 1, 2023 Accepting new patients

Locations

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

Interoperability endpoints

  • Direct secure messaging: lcannick10196@direct.anmedhealth.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
AnmedAnderson, SC, CCN 420027 Hospital Corporate Director Jan 1, 2023
Anmed Primary Care - IvaIva, SC, CCN 428504 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1881705671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-512-4600",
            "fax_number": "864-512-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-512-4600",
            "fax_number": "864-512-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNICK",
        "first_name": "LEANDER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "30455",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "200401182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.