DR. JEROME CANADY (NPI# 1467504415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467504415 |
| Entity Type | Individual |
| Full Name | DR. JEROME CANADY |
| Credential | M.D. |
| Practice Address |
106 Irving St Nw Suite 406 Washington DC 20010-2927 |
| Practice Telephone | 2028770532 |
| Practice Fax Number | 4128779088 |
| Mailing Telephone | 2028770532 |
| Mailing Fax Number | 2028779088 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 14115 | DC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 14115 | DC | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
14115 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101963446002 | 05 |
| Street Address |
106 IRVING ST NW SUITE 406 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730521 | Anna Park | Ophthalmology | 106 Irving St Nw, Ste 321, Washington, DC 20010-2993 | 2005-06-14 |
| 1275177909 | Rabi Lee | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-11-06 |
| 1689215527 | Elshaday Teferi | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-10-02 |
| 1770145708 | Morgan Malpass | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-06-29 |
| 1285100909 | Bianca Cutler | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-10-20 |
| 1588164396 | Blen T Sime | Physician Assistant | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-02-19 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1811410822 | Michael Setzer | Genetic Counselor, MS | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-07-21 |
| 1265974703 | Andrea Frances Goergen | Dietitian, Registered | 106 Irving St Nw, Suite 301, Washington, DC 20010-2927 | 2016-11-15 |
| 1497205769 | Andrea Onufrychuk | Nurse Practitioner | 106 Irving St Nw, Suite 2300, Washington, DC 20010-2927 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926565 | Lynt Johnson | Transplant Surgery | 2131 K St Nw Ste 800, Washington, DC 20037 | 2005-07-19 |
| 1619383544 | Julie Haimes | Transplant Surgery | 110 Irving St Nw, Washington, DC 20010-3017 | 2014-07-11 |
| 1790121234 | Children's Hospital | Transplant Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-05-10 |
| 1700220340 | Alexander Helmut Kurt Kroemer | Transplant Surgery | 3800 Reservoir Rd Nw, Medstar Georgetown Transplant Institute, Washington, DC 20007-2113 | 2013-04-25 |
| 1235458191 | Oya Munevver Andacoglu | Transplant Surgery | 3800 Reservoir Rd Nw, Dept. of Surgery, Washington, DC 20007-2113 | 2010-05-18 |
| 1205153277 | Juan Francisco Guerra Castro | Transplant Surgery | 3800 Reservoir Rd Nw, Dept of Surgery, Washington, DC 20007-2113 | 2010-04-29 |
| 1992930192 | Chirag Sureshchandra Desai | Transplant Surgery | 3800 Reservoir Rd Nw, Department of Transplant Surgery, Washington, DC 20007-2113 | 2009-05-18 |
| 1497993018 | Raffaele Girlanda | Transplant Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2009-02-04 |
| 1902050180 | Joseph Bernard Africa | Transplant Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2008-11-14 |
| 1811168289 | Jennifer E Verbesey | Transplant Surgery | 3800 Reservoir Rd Nw, Georgetown Transplant Institute, Main 2, Washington, DC 20007-2113 | 2008-03-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.