Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Juan Gabriel Penaranda Canal, MD

Individual provider Surgery Physician · NPI 1588786784

Dr. Juan Gabriel Penaranda Canal, MD is a Thoracic Surgery in Edgewood, Kentucky. Qualified in 2003, 23 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Kentucky and Michigan.

Years since qualifying
23
Licensed in
AL, KY, MI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-9010
Fax: (859) 301-9018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1855 Spring Hill Ave, Mobile, AL 36607-2301 — (251) 471-3544

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 60150 (KY)
Surgery Physician Taxonomy 208600000X · Licence 4301085374 (MI)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 32425 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588786784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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