DR. MARY JO CANNON (NPI# 1619216835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619216835 |
| Entity Type | Individual |
| Full Name | DR. MARY JO CANNON |
| Credential | MD |
| Practice Address |
8945 N Westland Dr Gaithersburg MD 20877-1249 |
| Mailing Address |
20909 Sunnyacres Rd Gaithersburg MD 20882-1248 |
| Practice Telephone | 3013300006 |
| Mailing Telephone | 2403302430 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
D28907 | MD | Ambulatory Health Care Facilities |
| Street Address |
8945 N WESTLAND DR |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962534206 | Charles Jeffry Kessler | Pediatrics | 8945 N Westland Dr, Suite 100, Gaithersburg, MD 20877-1249 | 2007-03-12 |
| 1659911022 | Yvonne Nacion Swann | Nurse Practitioner | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2020-01-13 |
| 1487214771 | Tamielle Maree Taylor | Counselor | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2019-06-18 |
| 1003376971 | Ana Khan | Counselor | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2019-03-25 |
| 1144794678 | Alexander Eric Hammer | Social Worker | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2019-01-17 |
| 1306316450 | Family Care Associates | Assistant Behavior Analyst | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2018-12-03 |
| 1932684362 | Kelsey O'donnell | Social Worker | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2018-10-02 |
| 1902322928 | Martina Gabriela Alvarado | Counselor | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2017-08-22 |
| 1720347727 | Parents Choice Pediatric and Occupational Therapy Cener | Clinic/Center | 8945 N Westland Dr, Suite 200 A, Gaithersburg, MD 20877-1249 | 2012-05-10 |
| 1689839029 | Sy-med Decompression Inc. | Chiropractor | 8945 N Westland Dr, Suite 100, Gaithersburg, MD 20877-1249 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497293351 | Adult Day Health, Inc. | Clinic/Center | 8 Metropolitan Ct Ste 4, Gaithersburg, MD 20878-4022 | 2017-02-10 |
| 1932582715 | Evergreen Adult Medical Day Care | Clinic/Center | 9290 Gaither Rd, Gaithersburg, MD 20877-1420 | 2015-06-30 |
| 1942512942 | Mary Jo Cannon Md | Clinic/Center | 20909 Sunnyacres Rd, Gaithersburg, MD 20882-1248 | 2010-07-07 |
| 1457590812 | Rainbow Gardens Adhc LLC | Clinic/Center | 8 -4 Metropolitan Ct, Gaithersburg, MD 20878-4022 | 2009-02-09 |
| 1730337304 | Ccacc Adult Day Healthcare Center | Clinic/Center | 9366 Gaither Rd, Gaithersburg, MD 20877-1416 | 2008-09-08 |
| 1508304460 | Adult Day Health, Inc. | Clinic/Center | 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2017-02-10 |
| 1013318229 | Montgomery Adult Day Care, Inc. | Clinic/Center | 9123 Gaither Rd, Gaithersburg, MD 20877-1451 | 2014-09-07 |
| 1699032151 | Loving Care, LLC | Clinic/Center | 17051 Oakmont Ave, Suite A, Gaithersburg, MD 20877-4142 | 2012-04-20 |
| 1396869723 | Team Inc | Clinic/Center | 9123 Gaither Rd, Gaithersburg, MD 20877-1451 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241210 | Fahrney-keedy Memorial Home, Inc. | Clinic/Center | 21 Mountain View Drive, Boonsboro, MD 21713 | 2020-03-26 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1720619356 | Change Agent Network Africa,inc. | Clinic/Center | 4801 Sipple Ave, Baltimore, MD 21206-5605 | 2020-02-02 |
| 1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1730721085 | Serenity Manor Adult Day Services, LLC | Clinic/Center | 1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040-3852 | 2019-10-08 |
| 1487208112 | Comfort Life Care Adult Medical Day Care | Clinic/Center | 11221 Dolfield Blvd Ste 100-101, Owings Mills, MD 21117-3254 | 2019-07-31 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1073165619 | Aastha Amdc, LLC | Clinic/Center | 12210 Plum Orchard Dr Ste 214, Silver Spring, MD 20904-7913 | 2019-07-14 |
| 1992260079 | Links Residential Care Inc. | Clinic/Center | 6136 Landover Rd, Cheverly, MD 20785-1022 | 2019-02-04 |
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| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.