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CANYON O'BRIEN DO
NPI 1992599716
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 07, 2025PECOS Enrolled
22101 MOROSS RD, DETROIT, MI 48236(231) 632-4742 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon O'brien Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON O'BRIEN DO (NPI 1992599716) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992599716
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCANYON O'BRIENCredential: DO
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address22101 Moross RdDetroit, MI 48236-2148
Phone(231) 632-4742
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1992599716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22101 MOROSS RD, Detroit, MI 48236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon O'brien Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon O'brien's NPI number?

The NPI number for Canyon O'brien is 1992599716. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Canyon O'brien located?

Canyon O'brien practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (231) 632-4742.

What is Canyon O'brien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Canyon O'brien enrolled in Medicare?

Yes. Canyon O'brien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Canyon O'brien was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.