EMILY ELIZABETH CANNON (NPI# 1053572313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053572313 |
| Entity Type | Individual |
| Full Name | EMILY ELIZABETH CANNON |
| Credential | M.D. |
| Practice Address |
4300 W Main St Ste 24 Dothan AL 36305-1054 |
| Practice Telephone | 3347931534 |
| Practice Fax Number | 3347936840 |
| Mailing Telephone | 3347931534 |
| Mailing Fax Number | 3347936840 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD29882 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 150133 | 05 | |
| AL | MEDICARE | 102I024801 | 01 |
| AL | BCBS | 51136878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1063540623 | Emily M Cannon | Naturopath | 1641 Route 7 S, Middlebury, VT 05753-8806 | 2007-03-02 |
| 1154820512 | Emily Cannon | Family Medicine | 135 Memorial Dr, Luray, VA 22835-1016 | 2018-02-12 |
| 1124468244 | Emily Elizabeth Cannon | Specialist/Technologist | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2013-07-03 |
| 1730430141 | Emily Christine Cannon | Social Worker | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2012-09-25 |
| 1437454709 | Emily Lauren Cannon | Social Worker | 315 E Worthington Ave, Charlotte, NC 28203-4711 | 2011-01-18 |
| Street Address |
4300 W MAIN ST STE 24 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1649635434 | Leigh Phillips | Registered Nurse | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2015-12-21 |
| 1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
| 1861870131 | Martin Plastic and Reconstructive Surgery, PC | Plastic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-05-07 |
| 1811387053 | Eric M Warg | Registered Nurse | 4300 W Main St, 24, Dothan, AL 36305-1054 | 2015-01-26 |
| 1720426133 | Krystal Sims Fowler | Nurse Practitioner | 4300 W Main St, Suite 31, Dothan, AL 36305-1090 | 2013-06-07 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1134426588 | Norma Faye Mcknight | Nurse Practitioner | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2011-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700190204 | Charles Fred Conner | Surgery | 47 Foxchase Dr, Dothan, AL 36305-1145 | 2010-07-27 |
| 1053396606 | Bryant Fleming Williams | Surgery | 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301-3030 | 2005-12-07 |
| 1154316586 | Jeffrey Bray Whitehurst | Surgery | 112 Haven Drive, Suite 1, Dothan, AL 36301 | 2005-09-12 |
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1730184912 | Jonathan L. Skinner | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3002 | 2005-06-15 |
| 1740285931 | Jason D. Beaver | Surgery | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2005-06-15 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1528340536 | Jonathan L Skinner LLC | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3001 | 2011-09-15 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1235443417 | Wiregrass Vascular, P.C. | Surgery | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2010-07-30 |
| Find all providers in DOTHAN | ||||
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| 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.