MR. JOSEPH M CANNON (NPI# 1164400842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164400842 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH M CANNON |
| Credential | MD |
| Practice Address |
22281 Us Hwy 72 E Suite B and C Athens AL 35613 |
| Practice Telephone | 2562332158 |
| Practice Fax Number | 2562306825 |
| Mailing Telephone | 2562332158 |
| Mailing Fax Number | 2562306825 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2009-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
7009 | AL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
7009 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CA009904395 | 05 | |
| AL | 09936176 | 05 | |
| AL | BLUE CROSS BLUE SHIELD OF AL (VIA: THE HEART CENTER) | 515-33320 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930898 | Joseph Nathaniel Cannon Jr. | Family Medicine | 1413 Avenue G, Bay City, TX 77414-4730 | 2006-04-10 |
| 1558979633 | Joseph B Cannon | Dentist | 12030 Anderson Rd, Tampa, FL 33625-5682 | 2020-07-15 |
| Street Address |
22281 US HWY 72 E SUITE B AND C |
| City | ATHENS |
| State | AL |
| Zip Code | 35613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
| 1881142099 | Sheri L Korby | Audiologist | 15232 Greenfield Dr., Athens, AL 35613 | 2016-09-16 |
| 1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1669622320 | Robin Dollar St Pierre | Nurse Practitioner | 22136 Medical Village Drive, Athens, AL 35613 | 2008-09-30 |
| 1639329402 | Adam Marc Simpson | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2008-09-29 |
| 1912050352 | Valley Ent Assoc. P.C. | Specialist | 15232 Greenfield Dr, Athens, AL 35613 | 2007-01-19 |
| 1588745947 | Michael Lynn Hedgepeth | Chiropractor | 27453 Capshaw Road Suite B, Athens, AL 35613 | 2006-10-18 |
| 1881781268 | Athens Eye Care Center, P.C. | Optometrist | 22984 Us Highway 72, Athens, AL 35613 | 2006-10-06 |
| Find all providers in zip 35613 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073820064 | Elizabeth Weatherford Md PC | Radiology | 2240 Bluff Canyon Rd, Tuscumbia, AL 35674-5774 | 2010-09-12 |
| 1215268446 | Cahaba Valley Imaging, LLC | Radiology | 201 Racquet Club Lane, Pelham, AL 35124 | 2010-01-28 |
| 1629179023 | Himath Singh | Radiology | 209 Lakewood Dr E, Mobile, AL 36608-2248 | 2006-09-26 |
| 1134172737 | Vestavia Mri, LLC | Radiology | 1360 Montgomery Hwy, Suite 110, Birmingham, AL 35216-2749 | 2006-05-18 |
| 1710947684 | John Landon Reichle | Radiology | 512 Harley St, Scottsboro, AL 35768-4219 | 2006-03-24 |
| 1447230313 | Carol A Stephenson | Radiology | 777 Celia Dr Se, Hartselle, AL 35640-3321 | 2006-01-18 |
| 1528428604 | University of South Alabama | Radiology | 2451 Fillingim St, Mobile, AL 36617-2238 | 2016-03-02 |
| 1396900197 | Robert Desha Hines Iv | Radiology | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2008-07-22 |
| 1811051675 | Pet Ct of Mobile LLC | Radiology | 100 Memorial Hospital Dr, Suite 1e, Mobile, AL 36608 | 2006-12-19 |
| 1487664454 | Jorge Alberto Vidal | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-08-09 |
| 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.