PETER J MCCANNA (NPI# 1356383210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356383210 |
| Entity Type | Individual |
| Full Name | PETER J MCCANNA |
| Credential | MD |
| Practice Address |
1025 Regent St Davis Duehr Dean Madison WI 53715-1248 |
| Practice Telephone | 6082822000 |
| Practice Fax Number | 6082822172 |
| Mailing Telephone | 6082822000 |
| Mailing Fax Number | 6082822172 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 22453-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEATLH INSURANCE | 563 | 01 |
| WI | 30399700 | 05 |
| Street Address |
1025 REGENT ST DAVIS DUEHR DEAN |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303303 | Neal Joseph Janquart | Anesthesiology | 1025 Regent St, Davis Duehr Dean Medical Center, Madison, WI 53715-1248 | 2005-11-15 |
| 1992326995 | Noelle Bock | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2020-04-30 |
| 1477113025 | Joseph Isik | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2019-06-17 |
| 1336597079 | Trevor J Fosso | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2016-06-02 |
| 1962885012 | Andrew Kornaus | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2015-07-08 |
| 1194107649 | Jaclyn Beth Gurwin | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2015-06-22 |
| 1205237419 | Lynnette Olrick-bielinski | Registered Nurse | 1025 Regent St, Madison, WI 53715-1248 | 2014-09-07 |
| 1831531557 | Andrea C So | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2013-07-23 |
| 1851736037 | Wesley C Green | Ophthalmology | 1025 Regent St, Madison, WI 53715 | 2013-05-01 |
| 1255686846 | Christopher M Pruet | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2012-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1326420258 | Laser Eye Center PC | Ophthalmology | 135 Coveshire Pl, Madison, AL 35758-3150 | 2015-06-27 |
| 1225392632 | Brandon Michael Metcalf | Ophthalmology | 7610 Mid Town Rd, #308, Madison, WI 53719-3449 | 2012-06-29 |
| 1922397967 | Schweninger Ophthalmology, PC | Ophthalmology | 34 Hughes Rd Ste B, Madison, AL 35758-3000 | 2011-03-30 |
| 1568663003 | Lloyd R. Taustine PC | Ophthalmology | 601 Broadway St Ste 10, Madison, IN 47250-3364 | 2007-05-31 |
| 1356551691 | Kevin Kosek | Ophthalmology | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2007-05-23 |
| 1760522817 | David Alan Lewis | Ophthalmology | 600 Highland Ave # F4349, F4/349, Madison, WI 53792-0001 | 2007-02-07 |
| 1851440077 | Patricia Anne Ecker | Ophthalmology | 11 Woodland Road, Madison, CT 06443 | 2007-01-09 |
| 1194891838 | Leonidas Edwin Rice Jr. | Ophthalmology | 607 W Due W Ave, Ste 115, Madison, TN 37115 | 2006-11-27 |
| 1588692636 | William Clay Ashford | Ophthalmology | 501 Baptist Dr, Suite 220, Madison, MS 39110-2030 | 2006-06-29 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.