Chad M Cannon (NPI# 1790947083, PAC ID# 4688825326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1790947083 |
| PAC ID by PECOS | 4688825326 |
| Professional Enrollment ID | I20121106000522 |
| Full Name | Chad M Cannon |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Address |
3500 E Frank Phillips Blvd Jane Phillips Medical Center Bartlesville OK 74006-2411 |
| Phone Number | 9187443664 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4789607938 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 | 9187443664 | ST. JOHN ANESTHESIA SERVICES, INC. |
| 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 | 9187442345 | ST. JOHN ANESTHESIA SERVICES, INC. |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Barki | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Bradford D Barber | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Jonathan David Friend Ii | Anesthesiology | St. John Anesthesia Services, Inc. | 12451 E 100th St N, St John Owasso, Owasso, OK 74055-4600 |
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Tara A Mccants | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Brad W Stahlheber | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Daron V Brabham | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Ryan T Hladky | Anesthesiology Assistant | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Robin M Burch | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Christopher J Hagen | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Street Address |
3500 E FRANK PHILLIPS BLVD JANE PHILLIPS MEDICAL CENTER |
| City | BARTLESVILLE |
| State | OK |
| Zip | 74006-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford D Barber | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Steven J Casner | Pathology | Pathology Laboratory Associates Inc | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Stanley G Foster | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Mario R Morenas | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Michael S Nick | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| David L Culver | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Michael A Reburn | Diagnostic Radiology | Radiological Services, Inc | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Harvey J Hux | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Glenda J Conn | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalton Christopher Smith | Physical Therapy | Tulsa Bone and Joint Associates PC | 4140 Seadams Rd, Bartlesville, OK 74006 |
| Huyen Luong | Qualified Audiologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Charles D Holland Jr. | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Margaret L White | Nurse Practitioner | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Mark Robertson | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Christie J Swaim | Speech Language Pathologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Nicole L Cupp | Podiatry | Nicole L. Cupp Dpm Pllc | 234 Se Debell Ave, Advanced Podiatry of Bartlesville, Bartlesville, OK 74006-2305 |
| Richard S.c. Grisham | Ophthalmology | Grisham Eye Associates PC | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 |
| John W Hatchett | General Surgery | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Patricia A Catts | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Find all physicians in zip 74006 | |||
| City | BARTLESVILLE |
| Zip Code | 74006 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | BARTLESVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Chad M Cannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.