WILLIAM J CANNON (NPI# 1912971243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912971243 |
| Entity Type | Individual |
| Full Name | WILLIAM J CANNON |
| Credential | MD |
| Practice Address |
500 Mcmillen Street Fort Atkinson WI 53538-1233 |
| Practice Telephone | 9205635571 |
| Practice Fax Number | 9205637705 |
| Mailing Telephone | 9205635571 |
| Mailing Fax Number | 9205637705 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 65437-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 65437 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 36081211 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36081211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043516750 | William Alvis Cannon | Social Worker | 208 Elizabeth Ann Ct, San Antonio, TX 78213-1888 | 2011-01-28 |
| 1467472597 | William B. Cannon | Pharmacist | 342 E Parker Rd, Morganton, NC 28655-5111 | 2006-07-20 |
| 1689151003 | William Bryan Cannon | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205 | 2018-07-27 |
| 1164764759 | William Russell Cannon | Psychiatry & Neurology | 2321 Blue Ridge Rd, Raleigh, NC 27607-0163 | 2013-03-21 |
| 1184919094 | William R Cannon II | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2011-06-20 |
| 1740593417 | William Joseph Cannon | Dentist | 8500 Wilshire Blvd, 1018, Beverly Hills, CA 90211-3121 | 2010-07-22 |
| 1225108681 | William C. Cannon | Counselor | 633 Thompson Ln, Suite 225, Nashville, TN 37204-3616 | 2006-11-09 |
| Street Address |
500 MCMILLEN STREET |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223746 | Heidi J Jennrich | Nurse Practitioner | 500 Mcmillen Street, Fort Atkinson, WI 53538-1223 | 2006-04-10 |
| 1356317184 | Stanley Fudala | Psychiatry & Neurology | 500 Mcmillen Street, Fort Atkinson, WI 53538-1263 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366417461 | Nathaniel J Fullerton | Internal Medicine | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-02-22 |
| 1326043266 | Donald L Williams | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
| 1962543496 | Kenneth Andrew Miller | Internal Medicine | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-02-09 |
| 1841350022 | Jennifer L Klenske | Internal Medicine | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-12-11 |
| 1770558066 | Internal Medicine & Pediatrics, S.c. | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2006-02-21 |
| 1902802416 | Thomas Tackman | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-21 |
| 1700881869 | Laura Koenig | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.