Dr Travis Jay Canova, DO | |
510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | |
(314) 362-7200 | |
(314) 747-4189 |
Full Name | Dr Travis Jay Canova |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144635269 | NPI | - | NPPES |
200067468 | Medicaid | MO | |
ENROLLED | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2019009044 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Ogden Regional Medical Center | Ogden, UT | Hospital |
Lakeview Hospital | Bountiful, UT | Hospital |
Mountain West Medical Center | Tooele, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Imaging Associates Inc | 1355394537 | 42 |
Tooele Valley Imaging Llc | 2466624630 | 22 |
Green River Radiology Pc | 5294123063 | 23 |
Entity Name | Utah Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845 |
Entity Name | Tooele Valley Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699004499 PECOS PAC ID: 2466624630 Enrollment ID: O20111012000146 |
Entity Name | Oquirrh Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568734143 PECOS PAC ID: 4082875448 Enrollment ID: O20120411000273 |
Entity Name | Green River Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508533878 PECOS PAC ID: 5294123063 Enrollment ID: O20211027002062 |
Mailing Address | Practice Location Address |
---|---|
Dr Travis Jay Canova, DO 660 S Euclid Ave, Cb 8131, Saint Louis, MO 63110-1010 Ph: (314) 362-7200 | Dr Travis Jay Canova, DO 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 Ph: (314) 362-7200 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Chelsea Schmitt, Radiology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-2819 | |
Dr. James Edward Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Cindy Xin Zhang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept Of Radiology, Saint Louis, MO 63141 Phone: 314-251-6031 Fax: 314-251-6343 |