DR. TRENT EDWARD CANNON (NPI# 1588605562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588605562 |
| Entity Type | Individual |
| Full Name | DR. TRENT EDWARD CANNON |
| Credential | M.D. |
| Practice Address |
400 Constance St Walterboro SC 29488-2710 |
| Practice Telephone | 8435499568 |
| Practice Fax Number | 8435491530 |
| Mailing Telephone | 8435499568 |
| Mailing Fax Number | 8435491530 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9831 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 098316 | 05 |
| Street Address |
400 CONSTANCE ST |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492494 | Todd Allen | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2006-01-20 |
| 1447699046 | Angela Cowart Fisher | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2013-06-18 |
| 1104867183 | Riddick Ackerman IIi | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2006-06-09 |
| 1679510416 | Trent Cannon & Riddick Ackerman IIi | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609936905 | Women's Health Specialist LLC | Obstetrics & Gynecology | 457 Spruce St, Walterboro, SC 29488-2766 | 2006-12-10 |
| 1447699046 | Angela Cowart Fisher | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2013-06-18 |
| 1104867183 | Riddick Ackerman IIi | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2006-06-09 |
| 1679510416 | Trent Cannon & Riddick Ackerman IIi | Obstetrics & Gynecology | 400 Constance St, Walterboro, SC 29488-2710 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1548755788 | Catherine Anne Boniface | Obstetrics & Gynecology | 96 Jonathan Lucas St Obgyn Dept, Charleston, SC 29425 | 2018-06-29 |
| 1972021483 | New Hope Integrative Medicine, Inc | Obstetrics & Gynecology | 775 Saint James Ave Ste B, Goose Creek, SC 29445-2836 | 2017-09-05 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1205356581 | Kyle Aaron Brong | Obstetrics & Gynecology | 96 Jonathan Lucas St., Ste. 634, Charleston, SC 29425 | 2017-06-27 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1508215401 | Danielle Wright | Obstetrics & Gynecology | 1574 Bluewater Way, Charleston, SC 29414-7925 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
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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.