DR. DANIEL EDWARD CANNON (NPI# 1497997092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497997092 |
| Entity Type | Individual |
| Full Name | DR. DANIEL EDWARD CANNON |
| Credential | MD |
| Practice Address |
700 W Ironwood Dr Ste 278 Coeur D Alene ID 83814-4400 |
| Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Practice Telephone | 2086255160 |
| Practice Fax Number | 2086255733 |
| Mailing Telephone | 2086255085 |
| Mailing Fax Number | 2086255731 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M14014 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 N 2nd Ave Ste 300, Sandpoint, ID 838641552 | 2082651991 | 2082655733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386166676 | Daniel Cannon | Community Health Worker | 2000 Westland Rd Unit C, Cheyenne, WY 82001-3309 | 2017-07-09 |
| 1144754672 | Daniel Cannon | Specialist/Technologist | 161 E University Dr, Auburn, AL 36832-5889 | 2017-04-11 |
| 1174980122 | Daniel Cannon | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-01-21 |
| 1114213691 | Daniel Cannon | Pediatrics | 1380 E Medical Center Dr, Saint George, UT 84790-2123 | 2011-06-23 |
| 1013176098 | Daniel Simmonds Cannon | Dentist | 611 W Park St, Urbana, IL 61801 | 2008-06-05 |
| 1275569402 | Daniel F Cannon | Family Medicine | 6 Brooklet St, Asheville, NC 28801-4505 | 2006-06-22 |
| Street Address |
700 W IRONWOOD DR STE 278 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809160 | Inland Empire Ear, Nose Throat and Allergy, Pllc | Otolaryngology | 2236 N Merrit Crk Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2017-02-02 |
| 1699771451 | Ronald J Stout | Otolaryngology | 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 | 2005-06-24 |
| 1942347364 | Ian M Smith | Otolaryngology | 700 W Ironwood Dr, Suite 278, Coeur D Alene, ID 83814-2656 | 2007-02-01 |
| 1033116322 | Robert C. Farr | Otolaryngology | 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414436 | Bonner General Hospital, Inc. | Otolaryngology | 606 N 3rd Ave Ste 102, Sandpoint, ID 83864-1594 | 2018-10-26 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1952822942 | Delray Maughan, M.d. Pllc | Otolaryngology | 13900 W Wainwright Dr Ste 101, Boise, ID 83713-5028 | 2017-06-29 |
| 1821318510 | Philip Dawson Affleck | Otolaryngology | 3645 Georgia Ln, Ammon, ID 83406-7809 | 2010-06-04 |
| 1497953459 | Kent W. Davis | Otolaryngology | 3869 Canterbury Way, Idaho Falls, ID 83404-7971 | 2007-07-10 |
| 1588861918 | Leon Goldman | Otolaryngology | 127 Saddle Road, Bigwood E4, Ketchum, ID 83340 | 2007-06-29 |
| 1467667550 | Brandy Marie Tacia | Otolaryngology | 750 N Syringa St Ste 203a, Post Falls, ID 83854-5275 | 2007-05-11 |
| 1275698367 | Jeffrey Daniel Burry | Otolaryngology | 330 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-27 |
| 1619067436 | Ryan Lewis Van De Graaff | Otolaryngology | 900 N Liberty St., Ste 400, Boise, ID 83704 | 2006-10-13 |
| 1427153097 | Temp Ray Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.