DR. STEPHEN C CANNON (NPI# 1689602013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689602013 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C CANNON |
| Credential | M.D. |
| Practice Address |
7000 Boulder Ave Highland CA 92346-3348 |
| Mailing Address |
Po Box 2200 Redlands CA 92373-0722 |
| Practice Telephone | 9098621191 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097964158 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A70127 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A701270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083777908 | Stephen R Cannon | Family Medicine | 1325 Wright Ave Ste A, Crowley, LA 70526-2226 | 2006-12-19 |
| 1396067971 | Stephen Cannon | Physical Therapist | 1037 Main St, Leicester, MA 01524-1313 | 2010-02-23 |
| 1790737294 | Stephen Jerome Cannon | Nurse Anesthetist, Certified Registered | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-05-16 |
| 1962461095 | Stephen Caldwell Cannon | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| Street Address |
7000 BOULDER AVE |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412567 | Hin Wah Lee | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-05-11 |
| 1932757374 | Roger Rosewitz | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346-3348 | 2019-08-29 |
| 1003383480 | Andrew Tyler | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2018-10-24 |
| 1306330444 | Charlene De Grassi | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346 | 2018-06-21 |
| 1366812786 | Timothy Thue | Physician Assistant | 7000 Boulder Ave, Highland, CA 92346-3348 | 2015-09-28 |
| 1598196255 | Thaung Myat Aung | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-12-06 |
| 1013353218 | Raymond Sedgh | Family Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2013-05-14 |
| 1730524067 | Michael Joseph Mcneill | Family Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-04-30 |
| 1407142201 | Mohamed Sami Elsharif | Psychiatry & Neurology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-06-21 |
| 1427341577 | Ankona Ghosh | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| 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 |
|---|---|---|---|---|
| 1427341577 | Ankona Ghosh | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-05-24 |
| 1235359902 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 1520 9th St, Suite 110, Highland, IL 62249-1677 | 2007-04-26 |
| 1861431058 | Alvin Umeda | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-05 |
| 1386682896 | Shelley Thiel | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.