DR. CHARLES RON CANNON (NPI# 1437269479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437269479 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RON CANNON |
| Credential | MD |
| Practice Address |
1038 River Oaks Dr Flowood MS 39232 |
| Mailing Address |
Po Box 5345 Jackson MS 39296 |
| Practice Telephone | 6019325244 |
| Practice Fax Number | 6019390545 |
| Mailing Telephone | 6019325244 |
| Mailing Fax Number | 6019390545 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
07635 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08553384 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619053311 | Charles Robert Cannon Jr. | Chiropractor | 920 S State Road 7, Plantation, FL 33317-4523 | 2006-10-27 |
| 1073519815 | Charles Lawrence Cannon | Internal Medicine | 1218 W Willow, Ste A, Enid, OK 73703-2534 | 2005-06-27 |
| 1285232090 | Charles Cannon | Pharmacist | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2020-10-14 |
| 1043557309 | Charles Kelly Cannon | Acupuncturist | 302 E 2nd Ave, Mosier, OR 97040-1500 | 2013-01-07 |
| 1235229956 | Charles Bruce Cannon | Counselor | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2006-10-13 |
| 1841214145 | Charles D Cannon Jr. | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-07-27 |
| Street Address |
1038 RIVER OAKS DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501522 | Patricia A. Rush | Audiologist | 1038 River Oaks Dr, Flowood, MS 39232-9553 | 2006-01-05 |
| 1831347996 | Tracy Box Chippendale | Audiologist | 1038 River Oaks Dr, Flowood, MS 39232-9553 | 2008-09-03 |
| 1386807709 | Cindy Miles Johnson | Audiologist | 1038 River Oaks Dr, Flowood, MS 39232 | 2008-07-07 |
| 1134239171 | Peter J Casano | Otolaryngology | 1038 River Oaks Dr, Flowood, MS 39232 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239171 | Peter J Casano | Otolaryngology | 1038 River Oaks Dr, Flowood, MS 39232 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1033312772 | Ear,nose & Throat Surgical Clinic of South Central Ms | Otolaryngology | 306 S 12th Ave, Laurel, MS 39440-4327 | 2007-06-08 |
| 1881769032 | Ear, Nose and Throat & Facial Plastic Surgery, P.a. | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2006-11-22 |
| 1336238443 | Cole Facial Plastic Surgery | Otolaryngology | 1030 N Flowood Dr, Ste A, Jackson, MS 39232-9532 | 2006-10-12 |
Please comment or provide details below to improve the information on DR. CHARLES RON CANNON.
| 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.