CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. (NPI# 1477006385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477006385 |
| Entity Type | Organization |
| Organization Name | CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC. |
| Practice Address |
434 Hospital Drive Linville NC 28646-0787 |
| Practice Telephone | 8287377000 |
| Practice Fax Number | 8287377713 |
| Mailing Telephone | 8287377000 |
| Mailing Fax Number | 8287377713 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | MRS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Authorized Official Credential | RHIA-CPMSM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
H0037 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437541984 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Clinical Medical Laboratory | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-02-20 |
| 1821403957 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2014-06-27 |
| 1083845390 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2009-08-04 |
| Street Address |
434 HOSPITAL DRIVE |
| City | LINVILLE |
| State | NC |
| Zip Code | 28646-0787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221555 | Kristine Welborn | Occupational Therapist | 434 Hospital Drive, Linville, NC 28646-0787 | 2005-11-04 |
| 1891271888 | Melissa Keith Davis | Social Worker | 434 Hospital Drive, Linville, NC 28646 | 2018-07-13 |
| 1316397920 | Melissa Sinclair Freeman | Social Worker | 434 Hospital Drive, Behavioral Health Services, Linville, NC 28646 | 2016-06-14 |
| 1891187605 | Dana Renee Watson | Physical Therapist | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-03-03 |
| 1255723318 | Charles Hypes | Physical Therapist | 434 Hospital Drive, Charles A Cannon Memorial Hospital, Linville, NC 28646-0787 | 2015-02-26 |
| 1588056626 | Charles A. Cannon, Jr. Memorial Hosptial, Inc. | Clinic/Center | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-02-26 |
| 1437541984 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Clinical Medical Laboratory | 434 Hospital Drive, Linville, NC 28646-0787 | 2015-02-20 |
| 1821403957 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2014-06-27 |
| 1790009397 | Appalachian Regional Medical Associates, Inc. | Family Medicine | 434 Hospital Drive, Linville, NC 28646-0787 | 2010-03-25 |
| 1083845390 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Hospitalist | 434 Hospital Drive, Linville, NC 28646-0787 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679831135 | Graystone Ophthalmology Associates, Pa | Ophthalmology | 436 Hospital Dr Suite #110, Linville, NC 28646 | 2012-05-02 |
| 1255417358 | Mountain Laurel Internal Medicine,pa | Clinic/Center | 2139 Linville Falls Hwy, Linville, NC 28646 | 2006-10-31 |
| 1912002189 | Charles A. Cannon Jr. Memorial Hospital | Clinic/Center | 436 Hospital Dr, Sloop Medical Office Plaza, Suite 210, Linville, NC 28646 | 2006-09-13 |
| 1033147327 | Joe L Hawkins | Specialist/Technologist | 340 Wahoo Lane, Linville, NC 28646 | 2006-06-28 |
| 1104869288 | Heidi Aldridge | Emergency Medicine | 434 Hospital Dr, Linville, NC 28646 | 2006-06-14 |
| 1881681856 | Tate Clinic Pa | Surgery | 436 Hospital Dr, Ste 200, Linville, NC 28646 | 2005-10-04 |
| 1750378725 | Thomas M Haizlip Jr. | Surgery | 436 Hospital Drive, Suite 200, Linville, NC 28646 | 2005-10-04 |
| 1558975219 | Appalachian Regional Behavioral Healthcare Inc | Psychiatric Hospital | 432 Hospital Dr, Linville, NC 28646 | 2020-09-01 |
| 1760017826 | Susan Ulricke Schleith | Nurse Practitioner | 434 Hospital Dr, Suite 235, Linville, NC 28646 | 2020-03-10 |
| 1528537552 | Jennie Goodwin | Nurse Practitioner | 436 Hospital Dr, Unit 230, Linville, NC 28646 | 2018-11-20 |
| Find all providers in zip 28646 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609191022 | Carolinas Physicians Network Inc | Internal Medicine | 426 Hospital Drive, Suite 120, Linville, NC 28646-1234 | 2010-03-29 |
| 1003150590 | Watauga Medical Center, Inc. | Internal Medicine | 436 Hospital Drive, Suite 210, Linville, NC 28646-0787 | 2012-11-21 |
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|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1225563463 | Benjamin Mcginty Chilcutt | Internal Medicine | 300 Meadowmont Village Cir Ste 104, Chapel Hill, NC 27517-7518 | 2017-04-25 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 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.