DR. NICHOLAS CANNON (NPI# 1639123565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639123565 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS CANNON |
| Credential | D.C. |
| Practice Address |
2351 N Belfast Ave Augusta ME 04330-0200 |
| Practice Telephone | 2076230720 |
| Practice Fax Number | 2076230724 |
| Mailing Telephone | 2076230720 |
| Mailing Fax Number | 2076230724 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1600 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 100214 | 01 |
| ME | CIGNA | 7333997 | 01 |
| ME | HARVARD PILGRIM | AA57163 | 01 |
| Street Address |
2351 N BELFAST AVE |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929568 | Jerome Lewis II | Chiropractor | 138 8th St, Augusta, GA 30901-1310 | 2016-09-08 |
| 1215395983 | Markus Daniel Mccormac | Chiropractor | 514 State St., Augusta, KS 67010-1108 | 2016-02-09 |
| 1770878027 | Patricia M Pilling | Chiropractor | 2319 Ridge Rd, Augusta, GA 30906-5520 | 2011-06-15 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| 1891098018 | Degraaf Chiropractic Associates, Inc. | Chiropractor | 2424 Peach Orchard Rd, Augusta, GA 30906-2388 | 2010-12-09 |
| 1992939664 | Maria Viviana Nunez Aguilar | Chiropractor | 1106 Furys Ln Ste A, Augusta, GA 30907-8219 | 2009-05-11 |
| 1861632648 | Tom Edward Paris | Chiropractor | 104 Warren Rd., Augusta, GA 30907-3755 | 2009-03-06 |
| 1386883999 | Robert Evan Milhous | Chiropractor | 2321 Washington Rd, Augusta, GA 30904 | 2009-02-05 |
| 1629221213 | Life of Georgia Chiropractic Clinic | Chiropractor | 1914 Central Ave, Suite A, Augusta, GA 30904-4126 | 2008-10-28 |
| 1760602916 | James Lavallee, Dc | Chiropractor | 85 Stone St, Augusta, ME 04330-5222 | 2007-04-30 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on DR. NICHOLAS 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.