Carl Stanley Kanun, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

8892 Issued in AZ

Practice address

310 N Wilmot Rd
Suite 305
Tucson, AZ 85711-2618

Phone

(520) 885-0823

Fax

(520) 885-6337

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1952309130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD",
            "address_2": "SUITE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112618",
            "telephone_number": "520-885-0823",
            "fax_number": "520-885-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD",
            "address_2": "SUITE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112618",
            "telephone_number": "520-885-0823",
            "fax_number": "520-885-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUN",
        "first_name": "CARL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "8892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "86041556007",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0812280",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z2046",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222836",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Kane
• Ilene Sharon Kanefsky, PTA
• Enoch Kang, MD
• Janakkumar Pravinchandra Kansagra, M.D.
• Gerome B Kantor, MD
• Lauren King Kanzler, CCN
• Bianca Kao, MD
• Honora Kao, MMP, LMT
• Chirag Vinay Kapadia, MD
• Phyllis Jean Kapellen, M.D.

• Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.