DR. DAVID GAINE CANNON (NPI# 1073716932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073716932 |
Entity Type | Individual |
Full Name | DR. DAVID GAINE CANNON |
Credential | PH.D. |
Practice Address |
1376 Tiger Blvd Ste 210 Clemson SC 29631-2654 |
Practice Telephone | 8646547848 |
Practice Fax Number | 8646545777 |
Mailing Telephone | 8646547848 |
Mailing Fax Number | 8646545777 |
Enumeration Date | 2007-06-07 |
Last Update Date | 2011-08-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 349 | SC | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
349 | SC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PS0078 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295743763 | David S Cannon | Dentist | 1434 E 4500 S, #202, Holladay, UT 84117 | 2006-08-03 |
1801824040 | David L Cannon | Dentist | 3015 Hwy 29 S., Suite 4176, Alexandria, MN 56308 | 2006-06-28 |
1760081236 | David Michael Cannon | Technician | 2434 S 7th St, Ironton, OH 45638-2627 | 2020-10-25 |
1811551369 | David Cannon | Nurse Practitioner | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2019-04-30 |
1013483213 | David Cannon | Pharmacist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2018-10-16 |
1699819318 | David Wayne Cannon | Physical Therapist | 760 Highland Oaks Dr, Winston Salem, NC 27103-7105 | 2007-02-16 |
1619046117 | David H Cannon | Dentist | 1060 E 100 S, Suite 307, Salt Lake City, UT 84102-1501 | 2006-11-07 |
1578504668 | David Lorne Cannon | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2006-06-09 |
1487630133 | David Cannon | Optometrist | 3200 S Airport Rd W, #146, Traverse City, MI 49684-8117 | 2005-12-15 |
1891778387 | David Cannon | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-11-29 |
Street Address |
1376 TIGER BLVD STE 210 |
City | CLEMSON |
State | SC |
Zip Code | 29631-2654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023122082 | Holly Lee Partin | Counselor | 1376 Tiger Blvd, Suite 210, Clemson, SC 29631-2652 | 2006-08-18 |
1790907970 | Holly L. Partin, Lpc | Counselor | 1376 Tiger Blvd, Clemson, SC 29631-2652 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
Find all providers in zip 29631 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124353776 | Heidi Zinzow | Psychologist | 400 College Ave Ste 4, Clemson, SC 29631-2925 | 2009-10-14 |
1447334198 | Cannon Psychological Associates, PC | Psychologist | 1376 Tiger Blvd Ste 210, Clemson, SC 29631-2654 | 2006-10-25 |
1285984807 | Nadine Grissett Mccallum | Psychologist | 398 College Ave, Clemson, SC 29631 | 2012-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
1396353736 | Corvus Psychotherapy, LLC | Psychologist | 1114 Battery Creek Rd, Beaufort, SC 29902-6309 | 2020-07-22 |
1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
1306497151 | Susan K Jones LLC | Psychologist | 105 Central Ave Unit 7, Goose Creek, SC 29445-3269 | 2019-09-24 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
Find all providers with the same taxonomy |
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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.