GEORGE M CANNON (NPI# 1376593020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376593020 |
Entity Type | Individual |
Full Name | GEORGE M CANNON |
Credential | M.D. |
Practice Address |
5121 S Cottonwood St Murray UT 84107 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8015073888 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2018-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
8309974-1205 | UT | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
49958 | WI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
600 Highland Ave, Madison, WI 537920001 | 6082638500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720126741 | George Robert Cannon Jr. | Pharmacist | 112 N Main St, Enterprise, AL 36330-2537 | 2007-02-02 |
1437261088 | George L Cannon | Internal Medicine | 13000 N 103rd Ave, #97, Sun City, AZ 85351-3060 | 2006-08-31 |
1770542953 | George Hales Cannon | Pathology | 360 E 4500 S Ste 4, Salt Lake City, UT 84107-4297 | 2006-03-17 |
Street Address |
5121 S COTTONWOOD ST |
City | MURRAY |
State | UT |
Zip Code | 84107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861738189 | Jonathan Douglas Grant | Radiology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2012-12-13 |
1972776342 | Grant Kirton Hunter | Radiology | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2008-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
1578864476 | Cleo E Dymott | Radiology | 4926 Quail Ln, Ogden, UT 84403-4436 | 2010-11-08 |
1194905752 | Thomas B. Skidmore | Radiology | 1250 E 3900 S Ste 10, Salt Lake City, UT 84124-1354 | 2007-11-11 |
1295959724 | James W Clarke | Radiology | 700 W 800 N Ste 140, Orem, UT 84057-6301 | 2007-04-13 |
1952524266 | Benita Kruzel | Radiology | 313 Painted Hills Dr, Ivins, UT 84738-6082 | 2007-04-11 |
1386724292 | Ying Jia Hitchcock | Radiology | 1950 Cicle of Hope, Salt Lake City, UT 84112 | 2006-10-16 |
1366534653 | Amy Amalia Strowbridge | Radiology | 6440 South Millrock Drive Suite 175, Comphealth, Salt Lake City, UT 84121 | 2006-09-28 |
1881612927 | William Thomas Sause | Radiology | 8th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-07-17 |
1972557882 | Kristine Elizabeth Kokeny | Radiology | 1950 East Circle of Hope, Ste. 1570, Salt Lake City, UT 84112-5550 | 2006-05-22 |
1952369829 | Gene Kopelson | Radiology | 675 E 2100 S, Suite 390, Salt Lake City, UT 84106-1887 | 2006-05-02 |
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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.