MICHELLE R. CANNON


Address: 619 Sullivan Rd, Statesville, NC 28677-3437
Phone: 7048789309

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
102143 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE CANNON

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

Office Location

Street Address 619 SULLIVAN RD
City STATESVILLE
State NC
Zip Code 28677-3437

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City STATESVILLE
Zip Code 28677

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Dataset Information

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.

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