DR. DAVID CANNON (NPI# 1013483213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013483213 |
| Entity Type | Individual |
| Full Name | DR. DAVID CANNON |
| Credential | PHARMD |
| Practice Address |
55 Wade Ave Catonsville MD 21228-4663 |
| Mailing Address |
9082 Flamepool Way Columbia MD 21045-2901 |
| Practice Telephone | 4104027696 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
20367 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295743763 | David S Cannon | Dentist | 1434 E 4500 S, #202, Holladay, UT 84117 | 2006-08-03 |
| 1801824040 | David L Cannon | Dentist | 3015 Hwy 29 S., Suite 4176, Alexandria, MN 56308 | 2006-06-28 |
| 1760081236 | David Michael Cannon | Technician | 2434 S 7th St, Ironton, OH 45638-2627 | 2020-10-25 |
| 1811551369 | David Cannon | Nurse Practitioner | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2019-04-30 |
| 1073716932 | David Gaine Cannon | Psychologist | 1376 Tiger Blvd, Ste 210, Clemson, SC 29631-2654 | 2007-06-07 |
| 1699819318 | David Wayne Cannon | Physical Therapist | 760 Highland Oaks Dr, Winston Salem, NC 27103-7105 | 2007-02-16 |
| 1619046117 | David H Cannon | Dentist | 1060 E 100 S, Suite 307, Salt Lake City, UT 84102-1501 | 2006-11-07 |
| 1578504668 | David Lorne Cannon | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2006-06-09 |
| 1487630133 | David Cannon | Optometrist | 3200 S Airport Rd W, #146, Traverse City, MI 49684-8117 | 2005-12-15 |
| 1891778387 | David Cannon | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-11-29 |
| Street Address |
55 WADE AVE |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029796 | Brian Ron Sims | Psychiatry & Neurology | 55 Wade Ave, Catonsville, MD 21228-4663 | 2005-11-02 |
| 1306483631 | Thecla Ngozi Asoluka | Nurse Practitioner | 55 Wade Ave, Catonsville, MD 21228-4663 | 2019-12-05 |
| 1053850008 | Tenni O John-idiagbonya | Registered Nurse | 55 Wade Ave, Catonsville, MD 21228-4663 | 2017-02-22 |
| 1497105852 | Michelle F Estis | Psychologist | 55 Wade Ave, Spring Grove Hospital Center, Dayhoff A, Catonsville, MD 21228-4663 | 2016-06-16 |
| 1194182089 | The Care Group At Safe Harbor | Psychologist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2016-01-22 |
| 1417388554 | Elyse Wrona | Social Worker | 55 Wade Ave, Catonsville, MD 21228-4663 | 2013-11-27 |
| 1417258583 | Ingrid Marie Carlsson | Physician Assistant | 55 Wade Ave, Catonsville, MD 21228-4663 | 2010-11-05 |
| 1164663662 | Abner P Pasatiempo | Psychiatry & Neurology | 55 Wade Ave, Catonsville, MD 21228-4663 | 2009-03-12 |
| 1811133580 | Catherine Michelle Cross | Social Worker | 55 Wade Ave, White B, Catonsville, MD 21228-4663 | 2008-12-30 |
| 1891964177 | Joanna Baranauskas | Social Worker | 55 Wade Ave, Catonsville, MD 21228-4663 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801871280 | Jason Michael Noel | Pharmacist | 55 Wade Ave, Pharmacy Department, Catonsville, MD 21228-4663 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019175 | Mona B Gobrail | Pharmacist | 9002 Phillip Dorsey Way, Columbia, MD 21045 | 2006-08-31 |
| 1275530081 | Marie A Mackowick | Pharmacist | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2005-07-07 |
| 1225035272 | Jon David Johnson | Pharmacist | 9050 Poorhouse Rd, Port Tobacco, MD 20677-3027 | 2005-07-06 |
| 1306843636 | Douglas Lee Boggs | Pharmacist | 55 Wade Avenue, Maryland Psychiatric Research Center, Baltimore, MD 21228 | 2005-07-01 |
| 1912564188 | Erica Davis | Pharmacist | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2019-05-23 |
| 1497126908 | Howard County Health Department, Behavioral Health | Pharmacist | 8930 Stanford Blvd, Columbia, MD 21045 | 2015-10-09 |
| 1780055293 | Howard County Health Department, Behavioral Health | Pharmacist | 8930 Stanford Blvd, Columbua, MD 21045 | 2015-10-09 |
| 1922365626 | Coalition Mental Health Services | Pharmacist | 3509 Eastern Ave, Baltimore, MD 21224-4124 | 2012-04-19 |
| 1407079114 | Lily Chen Lin | Pharmacist | 6501 N Charles St, Towson, MD 21204-6819 | 2007-04-11 |
| 1356470504 | Joshana K. Goga | Pharmacist | 6501 N Charles St, Towson, MD 21204-6819 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on DR. DAVID CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.