DR. JEAN SUZANNE CANNON (NPI# 1386815421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386815421 |
| Entity Type | Individual |
| Full Name | DR. JEAN SUZANNE CANNON |
| Credential | M.D. |
| Practice Address |
2510 Chickasaw Blvd Ardmore OK 73401 |
| Practice Telephone | 5802268181 |
| Practice Fax Number | 5802234761 |
| Mailing Telephone | 5802268181 |
| Mailing Fax Number | 5802234761 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25555 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874445 | Jean S Cannon | Psychologist | 1681 Crown Ave, Suite 11, Lancaster, PA 17601-6303 | 2006-05-05 |
| Street Address |
2510 CHICKASAW BLVD |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879356 | Daniel Woods | Optometrist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-02-08 |
| 1700308194 | Melinda Kelsey | Dietitian, Registered | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2017-07-07 |
| 1316324809 | Paula Hunter | Physical Therapy Assistant | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2015-05-04 |
| 1811205925 | Tasha Renee Preston | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2010-09-23 |
| 1336477728 | Tamara Rae Brunk | Clinical Nurse Specialist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2009-11-24 |
| 1285832436 | Lucille Way | Nurse Practitioner | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-07-10 |
| 1053516781 | David Harris | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-06-21 |
| 1952515967 | Joel Herschler | Dentist | 2510 Chickasaw Blvd, Ardmore, OK 73401 | 2007-05-09 |
| 1669597027 | Chickasaw Nation Division of Health | Pharmacy | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2007-03-21 |
| 1730249186 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001039 | Turrentine Family Clinic Inc | General Practice | 800 Isabel, Ardmore, OK 73401 | 2006-10-25 |
| 1548243447 | James Ray Turrentine | General Practice | 800 Isabel St, Ardmore, OK 73401-5118 | 2005-11-23 |
| 1407849037 | Jerry Owen Barrett | General Practice | 26303 Savings Center Dr, Ardmore, TN 38449-3273 | 2005-08-30 |
| 1104901875 | Dr R G Patzkowsky PC | General Practice | 800 Isabel, Ardmore, OK 73401 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
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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.