MRS. KATIE MARRIA CANNON (NPI# 1215071725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215071725 |
| Entity Type | Individual |
| Full Name | MRS. KATIE MARRIA CANNON |
| Other Name | MISS KATIE MARRIA SINGER |
| Credential | PA-C |
| Practice Address |
210 W Saint Georges Ave Fl 2 Linden NJ 07036-3900 |
| Practice Telephone | 9084861111 |
| Practice Fax Number | 9084862723 |
| Mailing Telephone | 9084861111 |
| Mailing Fax Number | 9084862723 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00279100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952660367 | Katie H Cannon | Psychiatry & Neurology | 202 S Park St, Meriter Hospital, Madison, WI 53715-1507 | 2012-05-07 |
| Street Address |
210 W SAINT GEORGES AVE FL 2 |
| City | LINDEN |
| State | NJ |
| Zip Code | 07036-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699748426 | Walter J Pedowitz | Orthopaedic Surgery | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2006-02-10 |
| 1083272157 | Michael Osofsky | Physician Assistant | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2019-06-03 |
| 1487199709 | Kathleen E. Mckenna | Nurse Practitioner | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3990 | 2016-12-21 |
| 1053788927 | John D Sheaffer | Physician Assistant | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2015-08-27 |
| 1730442443 | Mark Nashaat Ghobrial | Orthopaedic Surgery | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2012-06-18 |
| 1447577457 | Mina Abdelshahed | Orthopaedic Surgery | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2010-04-29 |
| 1114250123 | Carole A Wischusen | Physician Assistant | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2009-09-09 |
| 1982861654 | Christopher Ropiak | Orthopaedic Surgery | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2008-05-20 |
| 1417158908 | Naomi Beth Gold | Physical Medicine & Rehabilitation | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2007-05-30 |
| 1720025299 | Nathaniel Sutain | Physical Medicine & Rehabilitation | 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556572 | Dinesh T Patel | Pharmacist | 1050 West Edgar Road, Linden, NJ 07036 | 2020-10-20 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1447743778 | Dream | Counselor | 811 Ainsworth St, Linden, NJ 07036 | 2018-06-12 |
| 1619483997 | Erin Marie Sisk | Occupational Therapist | 210 St Georges Avenue, Linden, NJ 07036 | 2017-12-21 |
| 1225580251 | Erin Guidera | Physical Therapist | 548 Elmwood Terrace, Linden, NJ 07036 | 2016-10-25 |
| 1386066496 | Gyrlfriendz Beauty Salon | Specialist | 115 N. Wood Avenue, Linden, NJ 07036 | 2014-01-08 |
| 1750644829 | Ana F Ramos | Health Educator | 638 Lindegar, Linden, NJ 07036 | 2012-06-22 |
| 1639448616 | Advanced Family Medical Associates, PC | Clinic/Center | 901 North Wood Avenue, Linden, NJ 07036 | 2011-12-21 |
| 1710262217 | Gabriela Kostikova | Pharmacist | 22 St George Ave, Linden, NJ 07036 | 2011-10-15 |
| 1144503608 | Kimberly Theresa Hendricksen | Behavioral Analyst | 1112a University Terrace, Linden, NJ 07036 | 2011-09-21 |
| Find all providers in zip 07036 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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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.