JOE RONALD CANNON (NPI# 1396839817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396839817 |
| Entity Type | Individual |
| Full Name | JOE RONALD CANNON |
| Credential | M.D. |
| Practice Address |
802 Orange St Abilene TX 79601 |
| Practice Telephone | 3256770086 |
| Practice Fax Number | 3256772410 |
| Mailing Telephone | 3256770086 |
| Mailing Fax Number | 3256772410 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E2498 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035202301 | 05 | |
| TX | TAX ID | 751731116 | 01 |
| TX | RAIL ROAD MEDICARE | 070007545 | 01 |
| TX | 025322101 | 05 | |
| TX | LAB RAIL ROAD MEDICARE | 690003028 | 01 |
| Street Address |
802 ORANGE ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073647962 | Joe Ronald Cannon | Clinical Medical Laboratory | 802 Orange St, Abilene, TX 79601-4020 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033572946 | Larry Smith | Specialist | 5234 Jarman St, Abilene, TX 79601-7002 | 2016-03-30 |
| 1104167055 | Oral & Maxillofacial Surgery of Abilene Pllc | Specialist | 1904 Pine St Ste 1d, Abilene, TX 79601-2450 | 2013-03-01 |
| 1023341567 | Bettie Ann Brower | Specialist | 4702 Spanish Oak Ct, Abilene, TX 79606-3435 | 2009-09-16 |
| 1215057310 | Abilene Cardiovascular Surgery, P.a. | Specialist | 1680 Antilley Rd Ste 260, Abilene, TX 79606-5247 | 2007-03-30 |
| 1912037516 | Abilene Perinatal Associates, P.l.l.c. | Specialist | 1850 Hickory St Fl 2, Abilene, TX 79601-2325 | 2007-03-06 |
| 1215004403 | Gary A Lamb | Specialist | 1742 Hickory St, Abilene, TX 79601-2943 | 2006-11-30 |
| 1891891099 | John H. Judd, Md, Pa | Specialist | 6250 Regional Plaza, Suite 1016, Abilene, TX 79606 | 2006-09-15 |
| 1497860605 | Grady D Yoder | Specialist | 401 Cypress, #110, Abilene, TX 79601-5122 | 2006-08-20 |
| 1447365325 | William Orlan Akin | Specialist | 702 Hickory St Ste B, Abilene, TX 79601-5038 | 2006-08-20 |
| 1003823618 | Photodermic, Inc. | Specialist | 3110 N 1st St, Abilene, TX 79603-7004 | 2006-08-03 |
| Find all providers in ABILENE | ||||
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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.