Mary Patricia Canna, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005915-1 Issued in NY

Practice address

3045 Southwestern Blvd
Suite 104
Orchard Park, NY 14127-1209

Phone

(716) 675-7000

Fax

(716) 674-4630

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1952395956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD",
            "address_2": "SUITE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-675-7000",
            "fax_number": "716-674-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD",
            "address_2": "SUITE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-675-7000",
            "fax_number": "716-674-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNA",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005915-1",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005195-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Campbell
• Carol M Campbell, SLP
• Jeanette Ellen Campbell, P.N.P.
• Michael Campbell, MD
• Peggy Suzanne Canfield, OT
• Kari Patricia Cannata, OSC
• Darren M Caparaso, MD
• Helen Sandra Capita, MS, LMHC
• Cardiac Imaging, PC
• Cardiology Group of Wny

• Physician Assistant in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.