ELLEN CANNON


Address: 1023 Marlin Dr, West Chester, PA 19382-2360
Phone: 6102096383

ELLEN CANNON (NPI# 1083169890) 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) 1083169890
Entity Type Individual
Full Name ELLEN CANNON
Practice Address 1023 Marlin Dr
West Chester
PA 19382-2360
Practice Telephone 6102096383
Enumeration Date 2016-08-22
Last Update Date 2016-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA058639 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1023 MARLIN DR
City WEST CHESTER
State PA
Zip Code 19382-2360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104448331 Manasi Sheth Occupational Therapist Brandywine Hall, 800 W. Miner Street, West Chester, PA 19382 2020-05-11
1700410669 Emily Schmidt Specialist/Technologist 855 S New Street, West Chester, PA 19382 2020-02-28
1366902124 Donna Sabella Monheit Registered Nurse 501 S. Wawaset Road, West Chester, PA 19382 2019-03-20
1992202642 Elizabeth Dayton Behavioral Analyst 2014 Valley Dr, West Chester, PA 19382 2018-04-10
1093237463 Nadia Alsamadi Counselor 201 North Bradford Ave. Apt. C4, West Chester, PA 19382 2017-07-07
1902354186 Aja Penn Audiologist 1396 Wilmington Pike Ste 2, West Chester, PA 19382 2016-09-15
1831551704 Nutritional Graces LLC Dietitian, Registered 437 Sharpless St., West Chester, PA 19382 2016-03-22
1316347164 The Training Room of Garnet Valley, LLC Clinic/Center 11 Forelock Court, West Chester, PA 19382 2014-08-29
1659770360 Tamara Eiseman Occupational Therapist 200 Skiles Blvd., West Chester, PA 19382 2014-08-19
1356761886 Kevin Alan Keene Specialist/Technologist 855 South New Street, West Chester, PA 19382 2014-04-23
Find all providers in zip 19382

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336339837 Brad Webb Physician Assistant 1244 W Chester Pike, Suite 409, West Chester, PA 19382-5687 2007-07-31
1043697568 Daphne S Macmillan Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2015-05-05
1568748465 Alexis L Whalen Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2011-10-25
1942420716 Frank Scavetta Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2007-04-26
1306997457 Nicolas Carl Zafiroglu Physician Assistant 915 Old Fern Hill Rd, Suite 1 Building A, West Chester, PA 19380-4269 2007-01-16
1942391016 Laura E Wildman Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2006-09-27
1548351653 Ann Dellevigne Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2006-09-27
1346331352 Michelle Ward Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2006-09-27
1821051582 Joanne Sandherr Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2006-04-11
1356304463 Jennifer A Dempsey Physician Assistant 701 E Marshall St, West Chester, PA 19380-4412 2006-04-10
Find all providers in WEST CHESTER

Competitor

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City WEST CHESTER
Zip Code 19382

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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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