GREGORY J CANNON (NPI# 1992767636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992767636 |
| Entity Type | Individual |
| Full Name | GREGORY J CANNON |
| Credential | MD |
| Practice Address |
3000 New Bern Ave Raleigh NC 27610-1231 |
| Mailing Address |
Po Box 60968 Charlotte NC 28260-0968 |
| Practice Telephone | 8432373378 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 8432373378 |
| Mailing Fax Number | 8432375073 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 200200209 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89130YN | 05 | |
| NC | RAILROAD | 930116695 | 01 |
| SC | Q00200 | 05 | |
| NC | BCBS | 130YN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644517 | Gregory Cannon | Counselor | 250 Arbon Ct, Crete, IL 60417-1121 | 2016-04-07 |
| 1790791911 | Gregory E Cannon | Chiropractor | 8002 Menaul Blvd Ne, Albuquerque, NM 87110-4608 | 2006-07-31 |
| 1568844637 | Gregory Cannon | Student in an Organized Health Care Education/Training Program | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2015-06-24 |
| 1194066753 | Gregory Scott Cannon | Registered Nurse | 10065 E Harvard Ave, Ste400, Denver, CO 80231-5968 | 2013-03-07 |
| 1811252679 | Gregory Cannon | Family Medicine | 1730 Chew St, Allentown, PA 18104-5549 | 2012-07-09 |
| 1255424156 | Gregory P Cannon | Counselor | 4720 Kingsway Dr, Indianapolis, IN 46205-1555 | 2006-10-02 |
| 1700855541 | Gregory Cannon | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2006-03-15 |
| Street Address |
3000 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
| 1811507700 | Erika Barbosa Richard | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-05 |
| 1790395846 | Dana Sroka Thomson | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-04 |
| 1477163756 | Sarah Anne Schwisow | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-03 |
| 1831708486 | Andrew Yoon | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-07-29 |
| 1770104622 | Sonya Zaghloul | Speech-Language Pathologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-05-01 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1326674789 | Thomas Mellette | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-18 |
| 1457986234 | Rose Meitzen | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-11 |
| 1932733847 | Olga Sushkevich | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447486584 | Amy Elizabeth Sell Metcalf | Emergency Medicine | 8704 Trailing Cedar Ct, Em: Emergency Medicine, Raleigh, NC 27613-1136 | 2009-06-03 |
| 1164656922 | Sarah Jean Mills | Emergency Medicine | 4413 Densmore Place, Sarah Mills, Raleigh, NC 27612 | 2009-05-08 |
| 1972647832 | Beverly Robin Goode-kanawati | Emergency Medicine | 6511 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1687 | 2007-02-16 |
| 1225102981 | Harley Easter | Emergency Medicine | 916 Pebblebrook Dr, Raleigh, NC 27609-6031 | 2006-11-17 |
| 1033291190 | Neal K Chawla | Emergency Medicine | 3000 New Bern Ave Ofc, Raleigh, NC 27610-1231 | 2006-10-19 |
| 1972603231 | Michael O Citron | Emergency Medicine | 8406 Six Forks Rd, Suite 101, Raleigh, NC 27615-3074 | 2006-09-25 |
| 1801907175 | Scott Garth Kirby | Emergency Medicine | 1203 Front St, Raleigh, NC 27609-7526 | 2006-08-31 |
| 1033226253 | Lawrence Kendall Conger | Emergency Medicine | 8010 Arco Corporate Pkwy, Schwarz Biosciences, Raleigh, NC 27617-2011 | 2006-08-24 |
| 1033163993 | Christopher Occhino | Emergency Medicine | 4513 Pitt St, Raleigh, NC 27609-5654 | 2006-05-22 |
| 1730133604 | Chawki A. Lahoud | Emergency Medicine | 4505 Fair Meadows Ln Ste 101, Raleigh, NC 27607 | 2006-05-22 |
| Find all providers in RALEIGH | ||||
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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.