MARSHA GAIL CANNON (NPI# 1609031186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609031186 |
| Entity Type | Individual |
| Full Name | MARSHA GAIL CANNON |
| Credential | RN |
| Practice Address |
215 Corporate Dr Suite B Beaver Dam WI 53916-3123 |
| Practice Telephone | 9203569415 |
| Practice Fax Number | 9203569477 |
| Mailing Telephone | 9203569415 |
| Mailing Fax Number | 9203569477 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
71301-30 | WI | Nursing Service Providers |
| Street Address |
215 CORPORATE DR SUITE B |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598753 | Mary A Moore | Nurse Practitioner | 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 | 2005-09-16 |
| 1154877504 | Paladina Health, LLC | Family Medicine | 215 Corporate Dr, Suite A, Beaver Dam, WI 53916-3123 | 2016-08-26 |
| 1205248804 | Ayaz Samandani Md Sc | Family Medicine | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2014-05-30 |
| 1396985636 | Ayaz M. Samadani, Md, Sc | Clinical Medical Laboratory | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2009-02-26 |
| 1992876734 | Thomas J Kalinosky Do | Family Medicine | 215 Corporate Dr, Suite G, Beaver Dam, WI 53916-3123 | 2006-11-13 |
| 1982719266 | Thomas J Kalinosky | Family Medicine | 215 Corporate Dr, Suite G, Beaver Dam, WI 53916-3123 | 2006-08-20 |
| 1992758254 | Madison Vamc | Clinic/Center | 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 | 2006-05-18 |
| 1811947088 | Ayaz M Samadani | General Practice | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699115279 | Robin Ann Belsky | Registered Nurse | 53585 Nokomis Rd # 682, Ashland, WI 54806-4272 | 2013-06-27 |
| 1245678820 | Candace D Roundtree | Registered Nurse | 2501 N 57th St, Milwaukee, WI 53210-2207 | 2013-06-05 |
| 1104052992 | Cynthia Mae Olson | Registered Nurse | 174 S Riverwalk, River Falls, WI 54022-3309 | 2009-06-07 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1285139188 | Angela Marie Ellenberger | Registered Nurse | 36500 Aurora Dr, Summit, WI 53066-4899 | 2018-03-24 |
| 1669922084 | Schonta Ward | Registered Nurse | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2016-10-10 |
| 1003278896 | Mary Hunt | Registered Nurse | 333 E Campus Mall, #5121, Madison, WI 53715-1365 | 2016-03-22 |
| 1124407259 | Mitchell R Burke | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2015-05-21 |
| 1568854156 | Shawn M Feller | Registered Nurse | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2015-02-19 |
| 1730514175 | Nicole Katcha | Registered Nurse | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2013-09-04 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on MARSHA GAIL CANNON.
| 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.