Active NPI
Omar Canaday, M.D.
- Hospitalist Physician
- Reno, NV
National Provider Identifier
1932371291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 13962
- Practice address
- 1155 Mill St
W11
Reno, NV 89502 - Phone
- (775) 784-4202
- Fax
- (775) 327-5178
- NPI assigned
- Mar 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13962 | NV | |
| Hospitalist Physician | 208M00000X | 13962 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
W11
Reno, NV 89502
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12274551 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1932371291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"address_2": "W11",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-784-4202",
"fax_number": "775-327-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADAY",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "13962",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "13962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12274551",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.