DR. MICHAEL DEE CANNON (NPI# 1477863504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477863504 |
Entity Type | Individual |
Full Name | DR. MICHAEL DEE CANNON |
Credential | PH.D. |
Practice Address |
9629 Highway 270 Pine Bluff AR 71602-9493 |
Practice Telephone | 8704890225 |
Mailing Telephone | 8704890225 |
Enumeration Date | 2010-10-07 |
Last Update Date | 2010-10-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
95-16 E - I | AR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861952251 | Michael L Cannon | Counselor | 5206 Walnut Ct, Lithonia, GA 30038-4873 | 2019-03-21 |
1902223118 | Michael David Cannon | Psychiatry & Neurology | 6535 N Charles St Ste 300, Baltimore, MD 21204-5824 | 2014-03-25 |
1205047594 | Michael T Cannon | Psychiatry & Neurology | 4721 Reading Road, Cincinnati, OH 45237 | 2007-05-25 |
1033131495 | Michael J Cannon | Obstetrics & Gynecology | 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811 | 2006-07-24 |
1124080106 | Michael Todd Cannon | Emergency Medicine | 11820 N 177th East Ave, Collinsville, OK 74021-5149 | 2006-04-05 |
1811596232 | Michael Kollin Cannon | Physical Therapist | 5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 | 2020-10-19 |
1154823441 | Michael Cannon | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
1487036786 | Michael Cannon | Physical Therapist | 11219 Potranco Rd, Building A Suite 110, San Antonio, TX 78253-5848 | 2015-06-23 |
1922494673 | Michael Cannon | Podiatrist | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2015-04-09 |
1154348761 | Michael E Cannon | Family Medicine | 3009 N Ballas Rd, Suite 100b, Saint Louis, MO 63131-2322 | 2006-07-17 |
Street Address |
9629 HIGHWAY 270 |
City | PINE BLUFF |
State | AR |
Zip Code | 71602-9493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
Find all providers in zip 71602 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043717440 | Insight Psychological Services Pllc | Psychologist | 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 | 2018-04-11 |
1457875882 | Glenn Gerald Ryals | Psychologist | 712 W 3rd St Ste 100, Little Rock, AR 72201-2221 | 2017-07-27 |
1861925968 | Life Trek, LLC | Psychologist | 21 Sycamore St, Cabot, AR 72023-3714 | 2017-04-05 |
1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
1245590702 | Andrew Douglas Reichert | Psychologist | 3214 Nw Avignon Way, # 2, Bentonville, AR 72712-3916 | 2012-05-17 |
1669707832 | Charles C Lampton | Psychologist | 2725 Orchard Hill Rd, Siloam Springs, AR 72761-8340 | 2009-10-06 |
1174752364 | Teresa D Henderson | Psychologist | 3117 Polk Road 44, Mena, AR 71953-3891 | 2009-07-08 |
1407000516 | Hillary Hunt | Psychologist | 305 South Palm, Little Rock, AR 72205 | 2008-11-17 |
1437300761 | Rosemary Burns | Psychologist | 806 E 22nd St, Russellville, AR 72802-6937 | 2008-10-06 |
1740437383 | Ladeana Dawn Bell | Psychologist | 1012 Autumn Rd Ste 3, Little Rock, AR 72211-3763 | 2008-08-26 |
Find all providers with the same taxonomy |
City | PINE BLUFF |
Zip Code | 71602 |
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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.