JOE RONALD CANNON (NPI# 1073647962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073647962 |
Entity Type | Organization |
Organization Name | JOE RONALD CANNON |
Other Organization Name | ABILENE DERMATOPATHOLOGY LAB |
Practice Address |
802 Orange St Abilene TX 79601-4020 |
Mailing Address |
Po Box 3611 Abilene TX 79604-3611 |
Practice Telephone | 3256722162 |
Mailing Telephone | 3256722162 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2010-01-08 |
Authorized Official Name | JOE R CANNON (DERMATOPATHOLOGIST) |
Authorized Official Telephone | 3256722162 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | E2498 | TX | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 025322101 | 05 | |
TX | BLUE CROSS | CL0449 | 01 |
Other Name | Type Code |
---|---|
Abilene Dermatopathology Lab | Doing Business As Name - Organization |
Street Address |
802 ORANGE ST |
City | ABILENE |
State | TX |
Zip Code | 79601-4020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396839817 | Joe Ronald Cannon | Specialist | 802 Orange St, Abilene, TX 79601 | 2006-10-02 |
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1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1174904551 | Dcf | Clinical Medical Laboratory | 23 Hospital Dr, Suite 103, Abilene, TX 79606-5270 | 2015-06-11 |
1942416615 | Williams Trotter & Associates | Clinical Medical Laboratory | 1150 N 18th St Ste 102, Abilene, TX 79601-2948 | 2007-05-16 |
1831217603 | Abilene Eye Institute Lab | Clinical Medical Laboratory | 2120 Antilley Rd, Abilene, TX 79606-5211 | 2007-03-27 |
1174659486 | Williams Trotter & Associates | Clinical Medical Laboratory | 1150 N 18th St Ste 102, Abilene, TX 79601-2948 | 2007-02-23 |
1043249162 | Endocrinology Associates | Clinical Medical Laboratory | 2125 Pine St, Abilene, TX 79601-2435 | 2006-07-01 |
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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.