MR. HAROLD C CANNON JR. (NPI# 1063415826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063415826 |
| Entity Type | Individual |
| Full Name | MR. HAROLD C CANNON JR. |
| Credential | MD |
| Practice Address |
2200 E Parrish Ave Bldg D Suite 100 Owensboro KY 42303-1449 |
| Practice Telephone | 2706881770 |
| Practice Fax Number | 2706881780 |
| Mailing Telephone | 2706881770 |
| Mailing Fax Number | 2706881780 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01036413A | IN | Other Service Providers |
| N | 174400000X | Specialist | 22288 | KY | Other Service Providers |
| Y | 207T00000X | Neurological Surgery | 22288 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 0000388450 | 01 |
| IN | 100015240A | 05 | |
| KY | 64222888 | 05 |
| Street Address |
2200 E PARRISH AVE BLDG D SUITE 100 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960483 | David M Eggers | Specialist | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303-1449 | 2005-05-24 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1972025617 | Brittany Renae Winn Mckinley | Dentist | 2200 E Parrish Ave, Building C, Suite 102, Owensboro, KY 42303 | 2017-07-14 |
| 1639618283 | Almost Family PC of Kentucky, LLC | Nursing Care | 2200 E Parrish Ave, Bldg E., Suite 202, Owensboro, KY 42303-1449 | 2017-02-15 |
| 1700338290 | Janet Rowland | Dentist | 2200 E Parrish Ave, Building C, Suite 201, Owensboro, KY 42303-1449 | 2016-10-31 |
| 1710437165 | Claire Stevenson | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2016-10-10 |
| 1619337920 | Mckenzie Mattingly | Nurse Practitioner | 2200 E Parrish Ave, Bldg B Ste 101, Owensboro, KY 42303-1449 | 2016-02-29 |
| 1003295783 | Allied Physician Group LLC | Clinic/Center | 2200 E Parrish Ave, Building A, Owensboro, KY 42303-1449 | 2015-05-27 |
| 1811380652 | Adair Elizabeth Price | Physician Assistant | 2200 E Parrish Ave, Bldg B Ste 101, Owensboro, KY 42303-1449 | 2015-03-17 |
| 1467843250 | Dermatology Center of Owensboro Pllc | Dermatology | 2200 E Parrish Ave, Bld E Ste 205, Owensboro, KY 42303-1449 | 2015-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952768384 | Mohamed Maher Hulou | Neurological Surgery | 800 Rose Street Ukmc Department of Neurosurgery Ms 110, Lexington, KY 40536 | 2016-01-15 |
| 1689081895 | Brian Neil Snyder | Neurological Surgery | 800 Rose Street Ms 101, Lexington, KY 40536-0001 | 2014-07-20 |
| 1902240013 | William Lewis Dillen | Neurological Surgery | 800 Rose Street, Ms101, Lexington, KY 40536-0298 | 2013-04-18 |
| 1578819108 | Farhan Arshad Mirza | Neurological Surgery | 800 Rose St # Ms 101, Lexington, KY 40536-0298 | 2012-08-01 |
| 1144584095 | Justin David Hilliard | Neurological Surgery | 740 S Limestone Ky Clinic 401, Lexington, KY 40536 | 2012-06-26 |
| 1952696676 | Nessa S Timoney | Neurological Surgery | 825 2nd Ave Ste C3, Bowling Green, KY 42101-1791 | 2011-06-10 |
| 1124267125 | William E Pearson | Neurological Surgery | 9454 Parks Rd, Utica, KY 42376-9574 | 2009-02-13 |
| 1851542195 | Injury-care Associates and Chiropractic Center of Ky LLC | Neurological Surgery | 3955 Dixie Hwy, Louisville, KY 40216-4166 | 2008-10-06 |
| 1356519508 | Mercy Health Partners - Lourdes Hospital | Neurological Surgery | 1530 Lone Oak Rd., Suite 345, Paducah, KY 42003 | 2008-02-11 |
| 1932384930 | Tann A Nichols | Neurological Surgery | 544 Centre View Blvd, Crestview Hills, KY 41017-3400 | 2008-01-08 |
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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.