CAITLIN A CANAL (NPI# 1417319930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417319930 |
| Entity Type | Individual |
| Full Name | CAITLIN A CANAL |
| Other Name | CAITLIN A WALTERS |
| Practice Address |
2705 N Lebanon St Ste 310 Lebanon IN 46052 |
| Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
| Practice Telephone | 7654858900 |
| Practice Fax Number | 7654858909 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01081901A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300026891 | 05 |
| Street Address |
2705 N LEBANON ST STE 310 |
| City | LEBANON |
| State | IN |
| Zip Code | 46052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462531 | Sarah S Bosslet | Pediatrics | 2705 N Lebanon St Ste 310, Lebanon, IN 46052-8622 | 2006-03-27 |
| 1194110544 | Alyssa D Swick | Pediatrics | 2705 N Lebanon St Ste 310, Lebanon, IN 46052 | 2015-04-02 |
| 1407066384 | Jonathon Wade Cavins | Pediatrics | 2705 N Lebanon St Ste 310, Lebanon, IN 46052-8622 | 2007-05-22 |
| 1689887838 | Candy Jo Riggins | Pediatrics | 2705 N Lebanon St Ste 310, Lebanon, IN 46052-8622 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336671064 | Mahoussi Nicole Aholoukpe | Pediatrics | 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089 | 2017-03-31 |
| 1124318563 | Vernon David Savell Jr. | Pediatrics | 832 Pebble Cove Rd, Lebanon, TN 37087-1004 | 2011-04-19 |
| 1952504250 | Otto Pediatrics | Pediatrics | 1570 Cornwall Road, Lebanon, PA 17042 | 2007-06-06 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1972687309 | Deborah Wen-yee Mark | Pediatrics | 115 Winwood Drive, Centennial Pediatrics Ste 105, Lebanon, TN 37087 | 2006-10-24 |
| 1578586939 | Gene P Otto IIi | Pediatrics | 1570 Cornwall Rd, Lebanon, PA 17042-7403 | 2006-07-26 |
| 1003834441 | Russell County Clinic Corp | Pediatrics | 640 Overlook Drive, Lebanon, VA 24266 | 2006-07-17 |
| 1245276310 | John Fischer | Pediatrics | 1390 Route 22 W, Lebanon, NJ 08833 | 2006-06-20 |
| 1841234168 | Harinder Singh Grewal | Pediatrics | 330 Loretto Rd, Ste 700, Lebanon, KY 40033-1308 | 2006-06-16 |
| 1437105079 | Eric Yorke | Pediatrics | 1390 Us Highway 22, Lebanon, NJ 08833-2217 | 2006-05-25 |
| Find all providers in LEBANON | ||||
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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.