Jennifer R Canan (NPI# 1871931410, PAC ID# 2567692734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1871931410 |
| PAC ID by PECOS | 2567692734 |
| Professional Enrollment ID | I20170830003274 |
| Full Name | Jennifer R Canan |
| Organization Legal Name | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
| Address |
835 Sweitzer St Greenville OH 45331-1007 |
| Phone Number | 9375696937 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3476695354 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360044 | WAYNE HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 820 Central Ave, Greenville, OH 45331-1206 | 9375485365 | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
| 835 Sweitzer St, Greenville, OH 45331-1007 | 9375696937 | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
| Organization Legal Name | WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Sutter | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 622 E Elm St, Suite A, Union City, OH 45390-1722 |
| Stephanie N Buchanan | General Surgery | Wayne Hospital Company Professional Services LLC | 804 Central Ave, Greenville, OH 45331-1206 |
| David Kinnaird Johnson | Physical Medicine and Rehabilitation | Wayne Hospital Company Professional Services LLC | 1111 Sweitzer St, Greenville, OH 45331-1189 |
| Kara S Schultz | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Patrick Karr | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Peter W Lachiewicz | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Roy E Harvey Iii | Family Medicine | Wayne Hospital Company Professional Services LLC | 622 E Elm St, Suite A, Union City, OH 45390-1722 |
| Alisha D Reiss | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| John A Dutro | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Chane Chalou | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Street Address |
835 SWEITZER ST |
| City | GREENVILLE |
| State | OH |
| Zip | 45331-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Crawford | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kara S Schultz | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kenneth A Tyre Jr. | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Patrick Karr | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Andrew James Wourms | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Cassandra Patrick | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Stephen R Henderschedt | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Marian Owolabi | Nurse Practitioner | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Randall R Ralston | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Peter W Lachiewicz | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian W Wesche | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kiran Afshan | Internal Medicine | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Alisha D Reiss | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Timothy D Kathman | Internal Medicine | 835 Sweitzer St, Greenville, OH 45331-1007 | |
| Ezechukwu Ozuzumma Umeh | Internal Medicine | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| John A Dutro | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Karry L Clapper | Nurse Practitioner | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Chane Chalou | Nurse Practitioner | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Brooks D Tyre | Certified Registered Nurse Anesthetist | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kollipara Rajsheker | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Find all physicians in zip 45331 | |||
| City | GREENVILLE |
| Zip Code | 45331 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GREENVILLE + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.