Robert Canonico, DO | |
98-1079 Moanalua Rd, Aiea, HI 96701-4713 | |
(330) 493-4443 | |
Not Available |
Full Name | Robert Canonico |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 98-1079 Moanalua Rd, Aiea, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003956905 | NPI | - | NPPES |
208705 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 807 (Hawaii) | Primary |
Entity Name | Hawaii Emergency Physicians Associated Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137 |
Entity Name | Emergency Medicine Physicians Of Honolulu Pali Momi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699076976 PECOS PAC ID: 8729267075 Enrollment ID: O20110119000867 |
Entity Name | Emergency Medicine Physicians Of Honolulu Kapiolani Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760894984 PECOS PAC ID: 9032338454 Enrollment ID: O20140917002373 |
Mailing Address | Practice Location Address |
---|---|
Robert Canonico, DO 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Robert Canonico, DO 98-1079 Moanalua Rd, Aiea, HI 96701-4713 Ph: (330) 493-4443 |
David F. Moore, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 99-840 Iwaiwa St, Aiea, HI 96701 Phone: 808-828-0202 | |
Dr. Joseph D. Lewis Iv, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 98-777 Lanikuakaa St, Aiea, HI 96701 Phone: 808-484-9109 Fax: 808-485-1976 | |
Dr. Alan L Chang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 98-1079 Moanalua Rd, Emergency Department, Pali Momi Medical Center, Aiea, HI 96701 Phone: 808-485-4300 | |
Jason Fleming, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 808-485-4300 Fax: 808-485-4300 | |
Dinora Gil, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 330-493-4443 | |
Dr. Jermaine Robertson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 808-486-6000 |