CANNON FAMILY MEDICINE LLC (NPI# 1043372089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043372089 |
| Entity Type | Organization |
| Organization Name | CANNON FAMILY MEDICINE LLC |
| Practice Address |
719 N Eastern Ave Crowley LA 70526-3856 |
| Practice Telephone | 3377835900 |
| Practice Fax Number | 3377835914 |
| Mailing Telephone | 3377835900 |
| Mailing Fax Number | 3377835914 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | STEPHEN R CANNON (OWNER) |
| Authorized Official Telephone | 3377835900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 025690 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1048577 | 05 |
| Street Address |
719 N EASTERN AVE |
| City | CROWLEY |
| State | LA |
| Zip Code | 70526-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356890602 | Trahan Consulting Group LLC | Surgery | 719 N Eastern Ave, Crowley, LA 70526-3856 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1255950192 | Just Health | Clinic/Center | 500 Northeast Court Circle, Ste 3, Crowley, LA 70526 | 2020-04-10 |
| 1942724901 | Megan Cart Chachere | Family Medicine | 1307 Crowley Rayne Hwy Ste D, Crowley, LA 70526 | 2017-08-01 |
| 1598205940 | Astacia Ford | Counselor | 1325 Wright Ave. Suite D, Crowley, LA 70526 | 2017-03-05 |
| 1982032041 | Susan Carnes | Registered Nurse | 1822 West Second St., Crowley, LA 70526 | 2013-10-28 |
| 1679842280 | Todd Anthony Touchet | Dentist | 117 Blue Lake Drive, Crowley, LA 70526 | 2011-12-28 |
| 1417270067 | Envision Pathology LLC | Clinical Medical Laboratory | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-03-10 |
| 1205028412 | Patrick Dale Leleux Jr. | Internal Medicine | 1307 Crowley Rayne Hwy Ste E, Crowley, LA 70526 | 2007-08-11 |
| 1164634283 | Acadia Parish School System | Clinic/Center | 2402 N. Parkerson Avenue, Crowley, LA 70526 | 2007-05-03 |
| 1497801450 | Kurt S Rothermel | Dentist | 817 North Avenue K, Crowley, LA 70526 | 2007-01-25 |
| Find all providers in zip 70526 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273292 | Leon Lapleau Mcintire Sr. | Family Medicine | 910 E 3rd St, Crowley, LA 70526-5308 | 2018-01-29 |
| 1942724901 | Megan Cart Chachere | Family Medicine | 1307 Crowley Rayne Hwy Ste D, Crowley, LA 70526 | 2017-08-01 |
| 1083777908 | Stephen R Cannon | Family Medicine | 1325 Wright Ave Ste A, Crowley, LA 70526-2226 | 2006-12-19 |
| 1912911439 | Edward L Baker IIi | Family Medicine | 125 South Texas St, Crowley, TX 76036 | 2006-07-28 |
| 1336187053 | Sheila K Horsley | Family Medicine | 787 E. Fm 1187, Ste A, Crowley, TX 76036 | 2006-06-03 |
| 1508828245 | Daniel Chadwick | Family Medicine | 901 Fm 1187 E, Crowley, TX 76036-4358 | 2006-04-06 |
| 1215903513 | Karrie V Kilgore | Family Medicine | 345 Odd Fellows Rd, Crowley, LA 70526-2206 | 2006-02-27 |
| 1497360929 | Available Total Care, LLC | Family Medicine | 1325 Wright Ave Ste E, Crowley, LA 70526-2226 | 2020-09-11 |
| 1376997841 | Danielle Marie Fuselier | Family Medicine | 345 Odd Fellows Rd, Crowley, LA 70526-2206 | 2016-04-20 |
| 1780099853 | Crowley Primary Care, LLC | Family Medicine | 1325 Wright Ave Ste A, Crowley, LA 70526-2226 | 2014-06-26 |
| Find all providers in CROWLEY | ||||
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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.