National Provider Identifier

James William Canavan, M.D.

James William Canavan, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Springville, NY and a listed phone number of (716) 592-2832.

NPI 1639165772Springville, NYPediatrics Physician

Profile Overview

NPI
1639165772
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
September 23, 2005
Last Updated
September 02, 2011

Practice Location

  • 25 E Main St
  • Springville, NY 14141-1244

Phone: (716) 592-2832

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1639165772
Entity Type
Individual
Last Name
Canavan
First Name
James
Middle Name
William
Credential
M.D.
Mailing Street Address
25 E Main St
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-1244
Mailing Country
US
Mailing Phone
(716) 592-2832
Mailing Fax
(716) 592-4452
Practice Street Address
25 E Main St
Practice City
Springville
Practice State
NY
Practice ZIP Code
14141-1244
Practice Country
US
Practice Phone
(716) 592-2832
Practice Fax
(716) 592-4452
Enumeration Date
September 23, 2005
Last Updated
September 02, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
00010025104 (NY, Univera), 040426001488 (NY, Fidelis), 00602828 (NY), 000500325008 (NY, Bc/Bs), 146916DL (NY, Preferred Care), 1208948 (NY, Iha)