MEDICARE: SCOTT MICHAEL CANEPA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	68281	MN
2	207R00000X	Internal Medicine Physician	68281	MN
3	207R00000X	Internal Medicine Physician	30006	MN

General Provider Information

NPI Number	:	1184185704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT MICHAEL CANEPA MD

Provider Business Mailing Address
First Line	:	18101 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-5612
Country	:	US
Telephone Number	:	216-476-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	18101 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111
Country	:	US
Telephone Number	:	216-476-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2019
Last Update Date	:	03/25/2026

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Directions to “ SCOTT MICHAEL CANEPA MD” Practice Location

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