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

Mark J Canavan, PAC

Individual provider Physician Assistant · NPI 1649242694

Mark J Canavan, PAC is a Physician Assistant in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

100 W Lancaster Ave
Wynnewood, PA 19096
Phone: (610) 645-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA003209L (PA)

Record details

NPI number1649242694
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 3012, Wilmington, DE 19804-0012

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