MARAH CANNON D.C., INC (NPI# 1083736912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083736912 |
| Entity Type | Organization |
| Organization Name | MARAH CANNON D.C., INC |
| Practice Address |
630 S Glassell St Suite 103 Orange CA 92866-3004 |
| Practice Telephone | 7146394360 |
| Practice Fax Number | 7146398811 |
| Mailing Telephone | 7146394360 |
| Mailing Fax Number | 7146398811 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARAH HODGES CANNON (PRESIDENT) |
| Authorized Official Telephone | 7146394360 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 19726 | CA | Chiropractic Providers |
| Street Address |
630 S GLASSELL ST SUITE 103 |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403493 | Angela Lynn Herrmann | Pediatrics | 630 S Glassell St, Suite 106-a, Orange, CA 92866-3004 | 2005-08-09 |
| 1457725954 | Ruth Govea | Massage Therapist | 630 S Glassell St, #104b, Orange, CA 92866-3004 | 2015-11-20 |
| 1942541057 | Dineen Panattoni | Marriage & Family Therapist | 630 S Glassell St, Orange, CA 92866-3004 | 2013-03-14 |
| 1427382209 | George Ujkic Chiropractic Professional Corporation | Chiropractor | 630 S Glassell St, Suite 102, Orange, CA 92866-3004 | 2009-09-25 |
| 1922240258 | Angela Herrmann Md, Inc | Pediatrics | 630 S Glassell St, Suite 106a, Orange, CA 92866-3004 | 2009-04-01 |
| 1730328923 | Angela Therese Arendt | Marriage & Family Therapist | 630 S Glassell St, Suite 100g, Orange, CA 92866-3004 | 2009-02-11 |
| 1497965404 | Carolyn Hinton Meador | Marriage & Family Therapist | 630 S Glassell St, Orange, CA 92866-3004 | 2007-05-22 |
| 1548300593 | Pamela J Middleton | Pediatrics | 630 S Glassell St, Orange, CA 92866-3004 | 2007-02-07 |
| 1245307230 | George Nick Ujkic | Chiropractor | 630 S Glassell St, #102, Orange, CA 92866 | 2006-11-29 |
| 1023033164 | Ashli Marie Foster | Acupuncturist | 630 S Glassell St, Suite 102, Orange, CA 92866-3004 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916389 | Ariana Daurio | Chiropractor | 391 Boston Post Rd Ste 1, Orange, CT 06477-3578 | 2019-01-12 |
| 1255811543 | Ideal Therapy, Inc | Chiropractor | 2617 E Chapman Ave Ste 105, Orange, CA 92869-3255 | 2018-08-16 |
| 1760973556 | Robert Anthony Rubino | Chiropractor | 326 Boston Post Rd, Unit G, Orange, CT 06477-3521 | 2018-05-29 |
| 1699227447 | Melanie Fairman | Chiropractor | 100 Fairman Rd, Orange, MA 01364-9710 | 2016-10-27 |
| 1023473980 | Luis Jovel | Chiropractor | 265 S Anita Dr # 121, Orange, CA 92868-3355 | 2015-12-20 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1184015778 | Margaret Azzarella | Chiropractor | 472 Boston Post Rd, Suite 2, Orange, CT 06477-3518 | 2015-02-18 |
| 1487074019 | Vault Chiropractic | Chiropractor | 1535 Strickland Dr, Orange, TX 77630-2951 | 2014-04-22 |
| 1669802369 | Fitfix Wellness LLC | Chiropractor | 1224 E Katella Ave Ste 216, Orange, CA 92867-5049 | 2013-11-15 |
| 1922444926 | Joseph Michael Juliano | Chiropractor | 390 Tremont Pl, Orange, NJ 07050-2028 | 2013-05-16 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on MARAH CANNON D.C., INC.
| 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.