MICHELLE R. CANNON (NPI# 1609839125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609839125 |
Entity Type | Individual |
Full Name | MICHELLE R. CANNON |
Credential | PA-C |
Practice Address |
619 Sullivan Rd Statesville NC 28677-3437 |
Mailing Address |
650 Signal Hill Drive Ext P.o. Box 1845 Statesville NC 28625-4353 |
Practice Telephone | 7048789309 |
Mailing Telephone | 7048734277 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2008-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102143 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629418496 | Michelle I Cannon | Physical Therapist | 1847 Vista Lakes Dr, Fleming Island, FL 32003-7301 | 2013-06-26 |
1063797959 | Michelle Lee Cannon | Dental Hygienist | 2217 E 8th St, Superior, WI 54880-3714 | 2011-10-11 |
1871571117 | Michelle E Cannon | Counselor | 3821 Little York Rd, Dayton, OH 45414-2409 | 2006-01-06 |
1033678107 | Michelle R Cannon | Student in an Organized Health Care Education/Training Program | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2019-03-18 |
1003172461 | Michelle Cannon | Counselor | 326 Croton Rd, Melbourne, FL 32935-6340 | 2012-04-10 |
1629305065 | Michelle Lynn Cannon | Dentist | 710 Franklin St, Suite 200, Michigan City, IN 46360-3563 | 2009-11-05 |
Street Address |
619 SULLIVAN RD |
City | STATESVILLE |
State | NC |
Zip Code | 28677-3437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649262312 | William J Blackley | Family Medicine | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2005-08-18 |
1831495175 | Amy E Kester | Nurse Practitioner | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2011-02-03 |
1740468552 | Piedmont Healthcare, P.a. | Durable Medical Equipment & Medical Supplies | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2008-02-04 |
1033281316 | Bethany E Skaggs | Physician Assistant | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-11-14 |
1649283458 | Lori Agan Sumner | Physician Assistant | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-08-14 |
1619902483 | Trevor J Craig | Family Medicine | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-07-11 |
1548290174 | Mary Maikranz Marks | Nurse Practitioner | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-07-03 |
1598743544 | Frank J Spence Jr. | Family Medicine | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-01-09 |
1518959063 | Robert R Kimball | Family Medicine | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
Find all providers in zip 28677 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629563945 | Ashley Tipper | Physician Assistant | 124 Sunset Hill Rd, Statesville, NC 28625-2729 | 2018-06-28 |
1366882805 | Jordan Maas | Physician Assistant | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2013-06-28 |
1346589371 | Jennifer Lynn Bender | Physician Assistant | 152 Sherlock Dr, Statesville, NC 28625 | 2013-02-12 |
1912155409 | Stephanie Marie Michel | Physician Assistant | 757 Bryant St, Statesville, NC 28677-4142 | 2008-09-09 |
1689893794 | David Lee Zahm | Physician Assistant | 555 Kitchings Dr Ste C, Statesville, NC 28677-3576 | 2007-04-25 |
1063567626 | Kacie Miller Teeter | Physician Assistant | 310 Davie Ave, Statesville Family Practice, Statesville, NC 28677-5319 | 2007-01-24 |
1033281316 | Bethany E Skaggs | Physician Assistant | 619 Sullivan Rd, Statesville, NC 28677-3437 | 2006-11-14 |
1922061035 | Vicki Bryant | Physician Assistant | 365 Brookdale Dr, Statesville, NC 28677-4103 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
Find all providers with the same taxonomy |
City | STATESVILLE |
Zip Code | 28677 |
Please comment or provide details below to improve the information on MICHELLE R. 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.