NPIMap

Individual provider Active NPI

Gary C Canner, M.D.

  • Orthopaedic Surgery Physician
  • Wyomissing, PA
National Provider Identifier
1962460295
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD022054E Issued in PA
Practice address
2201 Ridgewood Rd
Wyomissing, PA 19610-1189
Phone
(610) 375-4949
Fax
(610) 375-6233
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD022054E PA Primary

Addresses

Primary practice location

2201 Ridgewood Rd
Wyomissing, PA 19610-1189

Mailing address

2201 Ridgewood Rd
Wyomissing, PA 19610-1189
Phone (610) 375-4949

Other practice location 1

301 S 7th Ave Ste 3220
West Reading, PA 19611-1493
Phone (484) 628-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100126000158 PA Practitioner - Orthopedic Surgery 0143284976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Berks Ortho LLCGroup PAC ID 2365961950, 8 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2201 Ridgewood Rd
Suite 250
Wyomissing, PA 19610-1191
Phone (610) 375-4949

301 S 7TH Ave
Suite 3220
West Reading, PA 19611-1493
Phone (484) 628-2663

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022054EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Ortho LLC Orthopaedic Surgery CurrentSince Dec 15, 2025 Accepting new patients
Berkshire Orthopedics LLC Orthopaedic Surgery CurrentSince Mar 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 S 7th Ave
Ste 3220
West Reading, PA 19611
Phone (484) 628-2663

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

2201 Ridgewood Rd
Ste 250
Wyomissing, PA 19610
Phone (610) 372-7429

2201 Ridgewood Rd
Wyomissing, PA 19610
Phone (610) 375-4949

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1962460295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-4949",
            "fax_number": "610-375-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-4949",
            "fax_number": "610-375-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 7th Ave Ste 3220",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111493",
            "country_code": "US",
            "telephone_number": "484-628-2663",
            "fax_number": "484-628-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNER",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD022054E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.