DR. DAVID CANNON


Address: 55 Wade Ave, Catonsville, MD 21228-4663
Phone: 4104027696

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1300X Pharmacist
Specialization: Psychiatric
20367 MD Pharmacy Service Providers

Other Providers DAVID CANNON

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

Office Location

Street Address 55 WADE AVE
City CATONSVILLE
State MD
Zip Code 21228-4663

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801871280 Jason Michael Noel Pharmacist 55 Wade Ave, Pharmacy Department, Catonsville, MD 21228-4663 2005-12-08

Providers in the same taxonomy and state

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
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Competitor

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City CATONSVILLE
Zip Code 21228

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Dataset Information

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.

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