BRIAN T CANNON (NPI# 1306073770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306073770 |
| Entity Type | Individual |
| Full Name | BRIAN T CANNON |
| Credential | M.D. |
| Practice Address |
4513 Executive Dr Naples FL 34119-9033 |
| Mailing Address |
Po Box 110820 Naples FL 34108-0114 |
| Practice Telephone | 2394316464 |
| Practice Fax Number | 2395945637 |
| Mailing Telephone | 2394316464 |
| Mailing Fax Number | 2395945637 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME114039 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164494423 | Brian Wayne Cannon | Optometrist | 8810a Farrow Rd, Columbia, SC 29203-8802 | 2006-02-02 |
| Street Address |
4513 EXECUTIVE DR |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885831 | Sheldon K Cho | Anesthesiology | 4513 Executive Dr, Naples, FL 34119 | 2006-03-15 |
| 1497365795 | Maximilian Dyal | Physical Therapist | 4513 Executive Dr, Naples, FL 34119-9033 | 2020-08-03 |
| 1336772474 | Emily Snyder | Family Medicine | 4513 Executive Dr, Naples, FL 34119-9033 | 2020-02-18 |
| 1639710163 | David Paul Spivey | Physical Therapy Assistant | 4513 Executive Dr, Naples, FL 34119-9033 | 2019-10-06 |
| 1376101337 | Jenny Latortue | Physical Therapy Assistant | 4513 Executive Dr, Naples, FL 34119-9033 | 2019-06-04 |
| 1427433531 | Stewart Smith Jr. | Physical Therapist | 4513 Executive Dr, Naples, FL 34119-9033 | 2015-07-30 |
| 1902201874 | Jean Evins Remy | Nurse Practitioner | 4513 Executive Dr, Naples, FL 34119-9033 | 2014-11-04 |
| 1366856361 | Michael Alexander Silva | Anesthesiology | 4513 Executive Dr, Naples, FL 34119 | 2014-06-17 |
| 1326463407 | Ronald Kope Jr. | Nurse Practitioner | 4513 Executive Dr, Naples, FL 34119-9033 | 2014-02-26 |
| 1093148611 | Kelly Keller Ahmad | Nurse Practitioner | 4513 Executive Dr, Naples, FL 34119-9033 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| 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 |
|---|---|---|---|---|
| 1992348437 | Daniel Joseph Rosende | Family Medicine | 2928 50th Ter Sw, Naples, FL 34116-7632 | 2019-10-28 |
| 1922655505 | Jill Layman | Family Medicine | 8165 Xenia Ln, Naples, FL 34114-2698 | 2019-08-20 |
| 1114487097 | Grant Charles Cardon | Family Medicine | 5921 Three Iron Dr Unit 2904, Naples, FL 34110-3213 | 2019-03-25 |
| 1427548189 | Ellen Lamanilao | Family Medicine | 15777 Marcello Cir, Naples, FL 34110-2834 | 2018-05-17 |
| 1528564911 | Collier Health Service, Inc | Family Medicine | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-04-04 |
| 1346760683 | Marco Island Pharmacy 2 LLC | Family Medicine | 5475 Golden Gate Pkwy Ste 5w, Naples, FL 34116-7529 | 2017-06-27 |
| 1871946236 | Elite Healthcare and Wellness Group, Inc | Family Medicine | 2400 Vanderbilt Beach Rd, Suite 106, Naples, FL 34109-2771 | 2016-07-20 |
| 1780064428 | Naples West Group | Family Medicine | 5051 Castello Dr Ste 41, Naples, FL 34103-8984 | 2015-06-08 |
| 1801281589 | Paul Francis Hemrick | Family Medicine | 400 8th St N Fl 2, Naples, FL 34102-5519 | 2015-03-31 |
| 1679988299 | Andrea Bickerton | Family Medicine | 8855 Immokalee Rd Unit 11, Naples, FL 34120-3928 | 2014-06-23 |
| Find all providers in NAPLES | ||||
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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.