Maureen Stormont Cannon (NPI# 1457810855, PAC ID# 8123369261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1457810855 |
| PAC ID by PECOS | 8123369261 |
| Professional Enrollment ID | I20190418000150 |
| Full Name | Maureen Stormont Cannon |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
13819 Hanson Blvd Nw Andover MN 55304-7608 |
| Phone Number | 7635725700 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 7635725700 | FAIRVIEW HEALTH SERVICES |
| 2945 Hazelwood St, Suite 100, Maplewood, MN 55109-1242 | 6512327800 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| 1390 University Ave W, Saint Paul, MN 55104-4001 | 6512324800 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
13819 HANSON BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip | 55304-7608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Bradford V Johnson | Internal Medicine | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Henning | Chiropractic | 1573 154th Ave Nw, Suite 102, Andover, MN 55304-2696 | |
| Divina F. Bikeri | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Andrea D Bergstrom | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Jessica L Kenser | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| David L Wineinger | Pediatric Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Kamrie A Parrott | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Susan L Demorlis | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Patricia A Herbert | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Sherry M Marinello | Physician Assistant | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Celerina Gonzalez | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Find all physicians in zip 55304 | |||
| City | ANDOVER |
| Zip Code | 55304 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | ANDOVER + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Maureen Stormont 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.