RICHARD CANNON JR. (NPI# 1245637073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245637073 |
| Entity Type | Individual |
| Full Name | RICHARD CANNON JR. |
| Practice Address |
309 Jackson St Monroe LA 71201-7407 |
| Mailing Address |
3510 N Causeway Blvd Ste 404 Metairie LA 70002-3531 |
| Practice Telephone | 5047795515 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN127493 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366722746 | Richard B Cannon | Internal Medicine | 9500 S 1300 E, Sandy, UT 84094-3763 | 2011-08-17 |
| 1679867378 | Richard Bigelow Cannon | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-05-31 |
| 1528206034 | Richard Overton Cannon IIi | Internal Medicine | 10 Center Dr, Building 10-crc Room 5-3330, Bethesda, MD 20892-0001 | 2009-01-22 |
| 1962526285 | Richard R Cannon | Dentist | 1110 Meridian St N, Huntsville, AL 35801-4636 | 2007-03-19 |
| 1992842264 | Richard Cannon | Ophthalmology | 2025 E 17th St, Idaho Falls, ID 83404-6430 | 2007-01-30 |
| Street Address |
309 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524367 | Stephen Paul Blanchard Sr. | Pathology | 309 Jackson St, Monroe, LA 71201-7407 | 2005-08-10 |
| 1255949921 | Shannon L Moe | Registered Nurse | 309 Jackson St, Monroe, LA 71201-7407 | 2020-07-20 |
| 1134756539 | Carolinska Health Corporation | Family Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2020-03-25 |
| 1649833583 | Ken Gremillion | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-16 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1295216018 | Andrew Michael Fontenot | Pharmacist | 309 Jackson St, Monroe, LA 71201-7407 | 2018-08-29 |
| 1982180337 | Amber Brooke Etheridge | Registered Nurse | 309 Jackson St, Monroe, LA 71201 | 2018-07-18 |
| 1578070363 | Fmol Health Systems | Pharmacy | 309 Jackson St, Floor 1, Monroe, LA 71201-7407 | 2018-01-03 |
| 1104336460 | Harikrishna Bandla | Internal Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2017-10-01 |
| 1285156760 | Trisandhya Sharma | Hospitalist | 309 Jackson St, Monroe, LA 71201-7407 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1710374012 | Jessica D Szydlowski | Nurse Anesthetist, Certified Registered | 1212 E Mombasha Rd, Monroe, NY 10950-5615 | 2015-04-24 |
| 1407151913 | Dustin Cole Broussard | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 100, Monroe, LA 71201-7457 | 2011-01-13 |
| 1255560009 | Christopher Michael Ward | Nurse Anesthetist, Certified Registered | 6713 Luther Ln, Monroe, NC 28112-8500 | 2009-07-14 |
| 1073701355 | Olga V. Halstead | Nurse Anesthetist, Certified Registered | 3980 W Albain Rd, Monroe, MI 48161-9555 | 2007-10-11 |
| 1184779431 | Marti Melinda Martin | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr., Monroe, LA 71203 | 2007-01-25 |
| 1346324670 | Delvin Joseph Price Jr. | Nurse Anesthetist, Certified Registered | 2229 Hwy139, Monroe, LA 71203-0614 | 2006-10-24 |
| 1144323726 | Heather Dianne Duty | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 101, Monroe, LA 71201-7403 | 2006-09-07 |
| 1508975517 | Brenda Rutledge-hilburn | Nurse Anesthetist, Certified Registered | 2108 Island Dr, Monroe, LA 71201-2521 | 2006-08-30 |
| 1699798611 | Scott Coddington | Nurse Anesthetist, Certified Registered | 5623 E Dunbar Rd, Monroe, MI 48161-9127 | 2006-07-25 |
| Find all providers in MONROE | ||||
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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.