DR. RODOLFO JASON CANOS IV (NPI# 1154412005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154412005 |
| Entity Type | Individual |
| Full Name | DR. RODOLFO JASON CANOS IV |
| Credential | D.O. |
| Practice Address |
12621 Eckel Junction Rd Ste 2800 Perrysburg OH 43551-1304 |
| Practice Telephone | 4197244777 |
| Practice Fax Number | 4197244776 |
| Mailing Telephone | 4197244777 |
| Mailing Fax Number | 4197244776 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 34-00-8855 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174602668 | Rodolfo J Canos Jr. | Family Medicine | 1920 South 9th St, Ironton, OH 45638-0743 | 2006-11-03 |
| 1982946844 | Rodolfo Louis Canos IIi | Nurse Practitioner | 3333 Burnet Ave, Ml 2016, Cincinnati, OH 45229-3026 | 2013-03-19 |
| Street Address |
12621 ECKEL JUNCTION RD STE 2800 |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691711 | Constance P Cashen | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2005-12-23 |
| 1093938854 | Bettina Isabelle Nazemi | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2007-04-10 |
| 1720185010 | Toledo Surgical Associates, Inc. | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072230 | Glenn M Hall Jr. | Surgery | 5324 Niagara Ln, Perrysburg, OH 43551-7172 | 2008-08-08 |
| 1083649842 | Todd R Tamlyn | Surgery | 12623 Eckel Junction Rd Ste 2600, Perrysburg, OH 43551-1304 | 2006-07-11 |
| 1083691711 | Constance P Cashen | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2005-12-23 |
| 1093938854 | Bettina Isabelle Nazemi | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2007-04-10 |
| 1720185010 | Toledo Surgical Associates, Inc. | Surgery | 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551-1304 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.