DR. RONNIE KANAS (NPI# 1265458095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458095 |
| Entity Type | Individual |
| Full Name | DR. RONNIE KANAS |
| Credential | M.D. |
| Practice Address |
200 Front St Vestal NY 13850-1559 |
| Practice Telephone | 6047487468 |
| Practice Fax Number | 6077546130 |
| Mailing Telephone | 6047487468 |
| Mailing Fax Number | 6077546130 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 170710 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AMERICAN BOARD OF PAIN ME | 02504 | 01 |
| NY | 01191602 | 05 | |
| NY | WORKERS COMP | CAN170710 | 01 |
| Street Address |
200 FRONT ST |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533556 | Romeo Morales | Dermatology | 200 Front St, Vestal, NY 13850-1559 | 2005-07-28 |
| 1548871403 | Emily Baker | Student in an Organized Health Care Education/Training Program | 200 Front St, Vestal, NY 13850-1559 | 2020-08-13 |
| 1255895629 | Jessica Woodmansee | Registered Nurse | 200 Front St, Vestal, NY 13850-1559 | 2019-01-30 |
| 1609257468 | Kevin Hastings IIi | Nurse Practitioner | 200 Front St, Suite A, Vestal, NY 13850-1559 | 2015-06-17 |
| 1518366293 | Sergey Alentyev | Nurse Practitioner | 200 Front St, Ste C, Vestal, NY 13850-1559 | 2014-08-19 |
| 1841608825 | Marion Gnadt | Nurse Practitioner | 200 Front St, Ste C, Vestal, NY 13850-1559 | 2014-07-23 |
| 1033534573 | Joshua Hundley | Specialist | 200 Front St, Suite D, Vestal, NY 13850-1559 | 2014-02-20 |
| 1265865083 | Danielle Marie Van Gorder | Specialist | 200 Front St, Suite D, Vestal, NY 13850-1559 | 2013-08-15 |
| 1780943589 | Uzoma Oranu | Dermatology | 200 Front St, Vestal, NY 13850-1559 | 2012-05-14 |
| 1417239096 | Ashley Marie Hopkins | Physician Assistant | 200 Front St, Vestal, NY 13850-1554 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513678 | Michael James Demetros | Specialist | 220 Eastland Rd, Vestal, NY 13850-1018 | 2019-11-25 |
| 1720474117 | Terra Wilcox | Specialist | 4104 Vestal Rd Ste 101, Vestal, NY 13850-3500 | 2015-04-13 |
| 1487080164 | Alicia Marie Horspool | Specialist | 413 Elmhaven Dr, Vestal, NY 13850-1408 | 2013-09-25 |
| 1174869275 | Conrad Krebs | Specialist | 335 Rayelene Dr, Vestal, NY 13850-5724 | 2012-12-17 |
| 1831451459 | Patricia M Monahan | Specialist | 241 Garden Ln, Vestal, NY 13850-1111 | 2012-06-10 |
| 1639317381 | Katie Nabywaniec | Specialist | 337 State Line Rd, Vestal, NY 13850-6227 | 2009-02-02 |
| 1316190465 | Sherry Lynn Brill | Specialist | 2208 Kathleen Dr, Vestal, NY 13850-5737 | 2008-11-02 |
| 1467457416 | Tina A Maxian | Specialist | 4433 Vestal Pkwy E, Vestal, NY 13850-3556 | 2005-06-16 |
| 1295254415 | Krista R Fizette | Specialist | 4104 Vestal Rd Ste 101, Vestal, NY 13850-3500 | 2017-09-19 |
| 1235667809 | Heaven Ann-marie Pentecost-lewis | Specialist | 4104 Vestal Rd, Vestal, NY 13850-3500 | 2017-05-26 |
| Find all providers in VESTAL | ||||
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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.