DAVID CANAVAN (NPI# 1619051711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619051711 |
Entity Type | Individual |
Full Name | DAVID CANAVAN |
Credential | M.D. |
Practice Address |
Professional Assistance Program of Nj 742 Alexander Road Princeton NJ 08650 |
Mailing Address |
10 Coach Dr Lawrenceville NJ 08648-1565 |
Practice Telephone | 6099191660 |
Mailing Telephone | 6098963851 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
NJ | Allopathic & Osteopathic Physicians |
Street Address |
PROFESSIONAL ASSISTANCE PROGRAM OF NJ 742 ALEXANDER ROAD |
City | PRINCETON |
State | NJ |
Zip Code | 08650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245445584 | Mercer Cty Office Aging | Case Manager/Care Coordinator | 200 Woolverton St., Trenton, NJ 08650 | 2007-05-11 |
1942353826 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08650 | 2007-01-22 |
1043405509 | John Francis Kustrup Jr. | Surgery | 9 River Knoll Drive, Titusville, NJ 08650-1305 | 2007-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982666 | Carol Sue Asbury | Technician | 201 Thornton Ave, Princeton, WV 24740-2850 | 2020-11-06 |
1093316861 | Skylar Jade Thompson I | Technician | 373 Northview Ave, Princeton, WV 24740-3827 | 2020-11-06 |
1679174478 | Cheryl Santos | Physical Therapist | 943 Alexander Road, Suite 2, Princeton, NJ 08540-0854 | 2020-11-06 |
1699376665 | Samantha Lynn Hoops | Technician | 103 Frances Ct, Princeton, WV 24739-8603 | 2020-11-05 |
1356942577 | Sharmila C. Sachdev | Speech-Language Pathologist | 73 Gulick Rd, Princeton, NJ 08540-4111 | 2020-11-04 |
1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
1275134876 | Farewell Transportation LLC | Non-emergency Medical Transport (VAN) | 152 Teresa St, Princeton, WV 24740-9059 | 2020-11-02 |
1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
1073112827 | Miranda Kay Sorenson | Doula | 12302 313th Ave, Princeton, MN 55371-3320 | 2020-10-22 |
Find all providers in PRINCETON |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013456375 | Hs Physician Services of Texas PC | Internal Medicine | 3800 County Road 444, Princeton, TX 75407-4432 | 2017-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
1285674010 | Peter O Kuponiyi | Internal Medicine | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2006-06-08 |
1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
1215479308 | Initia Nova Medical Solutions | Internal Medicine | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
Find all providers with the same taxonomy |
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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.