DR. ROBERT MICHAEL CANNON (NPI# 1215373139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215373139 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MICHAEL CANNON |
| Credential | M.D. |
| Practice Address |
1901 Mission 66 Vicksburg MS 39180-3711 |
| Practice Telephone | 6016360097 |
| Practice Fax Number | 6016299969 |
| Mailing Telephone | 6016360097 |
| Mailing Fax Number | 6016299969 |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23456 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006942 | Robert C. Cannon | Registered Nurse | 60875 E Eagle Mountain Dr, Tucson, AZ 85739-5939 | 2017-07-19 |
| 1013364306 | Robert Cannon | Non-emergency Medical Transport (VAN) | 40 Silver St, Rochester, NY 14611-2208 | 2016-05-17 |
| 1033528351 | Robert Darrell Cannon | Urology | 2717 Ptarmigan Dr Apt 2, Walnut Creek, CA 94595-3195 | 2014-08-12 |
| 1336552173 | Robert Clayton Cannon | Dentist | 8950 Main Street, Suite 120, Woodstock, GA 30188 | 2014-06-10 |
| 1952605552 | Robert Cannon | Contractor | 4611 E Palo Verde Dr, Phoenix, AZ 85018-1258 | 2010-12-23 |
| 1881636900 | Robert Orman Cannon IIi | Internal Medicine | 727 Holly Oak Dr, Palo Alto, CA 94303-4143 | 2006-06-12 |
| 1104806702 | Robert David Cannon | Pain Medicine | 3715 N Business Dr, Suite #101, Fayetteville, AR 72703-5204 | 2006-01-19 |
| 1346882792 | Robert W Cannon | Pharmacist | 10090 Chester Ave, Cleveland, OH 44106-1600 | 2019-10-16 |
| 1811400781 | Robert Lee Cannon | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2017-11-14 |
| 1902049398 | Robert Davis Cannon | Clinical Nurse Specialist | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2009-04-14 |
| Street Address |
1901 MISSION 66 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087855 | Good Samaritan Physical Therapy,inc. | Durable Medical Equipment & Medical Supplies | 1901 Mission 66, Suite A, Vicksburg, MS 39180-3711 | 2006-03-15 |
| 1922633916 | Physician Management Services of Mississippi, LLC | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2020-03-10 |
| 1417410911 | Cal-med LLC | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2019-04-11 |
| 1174067250 | Robert M Cannon Md LLC | Clinic/Center | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2016-12-08 |
| 1659739787 | Denesia Y Giffin Pllc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2016-02-03 |
| 1710351572 | Alliance Healthcare Services Inc | Clinic/Center | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2015-11-17 |
| 1588078737 | Christina Hossley Inc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2014-06-16 |
| 1639597966 | K Mcdaniel Inc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2014-04-03 |
| 1326289612 | J Russell Barnes Md PC | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2009-03-16 |
| 1104088152 | Carlos Alberto Latorre | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| 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 |
|---|---|---|---|---|
| 1831540350 | Evan Fitzgerald | Family Medicine | 13320 North Blvd, Vicksburg, MI 49097-1514 | 2016-06-27 |
| 1861772105 | First Intermed Corporation | Family Medicine | 4204 Clay Street, Vicksburg, MS 39183-0000 | 2011-08-18 |
| 1912933672 | Lara J Teal Clement | Family Medicine | 710 Newitt Vick Dr, Vicksburg, MS 39183-8746 | 2006-06-24 |
| 1184669798 | George Abraham | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-18 |
| 1417999301 | Markus B Stanley | Family Medicine | 110 King Arthurs Rdg, Vicksburg, MS 39180-9767 | 2006-06-12 |
| 1386648244 | David J Schriemer | Family Medicine | 13320 N Boulevard St, Vicksburg, MI 49097-1514 | 2005-06-09 |
| 1922633916 | Physician Management Services of Mississippi, LLC | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2020-03-10 |
| 1417410911 | Cal-med LLC | Family Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2019-04-11 |
| 1649755208 | Mea Primary Care Plus, LLC | Family Medicine | 4204 Clay St, Vicksburg, MS 39183-3438 | 2018-09-30 |
| 1023419801 | Vicksburg Medical Teams Mht LLC | Family Medicine | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2014-09-11 |
| Find all providers in VICKSBURG | ||||
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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.