DR. CECILY CANNON (NPI# 1700076908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076908 |
| Entity Type | Individual |
| Full Name | DR. CECILY CANNON |
| Credential | D.O |
| Practice Address |
103 Summer Street Kennebunk Family Practice Kennebunk ME 04043 |
| Practice Telephone | 2079852453 |
| Mailing Telephone | 2079852453 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2043 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
103 SUMMER STREET KENNEBUNK FAMILY PRACTICE |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| 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 |
|---|---|---|---|---|
| 1962588913 | Southern Maine Integrative Health Center, LLC | Family Medicine | 69 York St, Suite 4, Kennebunk, ME 04043-7153 | 2006-10-31 |
| 1235163890 | Earl R Freeman Jr. | Family Medicine | 21 Western Ave # A, Kennebunk, ME 04043-7354 | 2006-07-10 |
| 1619909249 | Charles A Parent | Family Medicine | 24 Portland Rd, Kennebunk, ME 04043-6747 | 2006-07-06 |
| 1386684868 | Merideth C. Norris | Family Medicine | 58 Portland Rd, Suite 18, Kennebunk, ME 04043-6656 | 2006-06-07 |
| 1316919756 | Patrick Joseph Mulcahy | Family Medicine | 69 York St., Suite 4, Kennebunk, ME 04043 | 2006-02-01 |
| 1194701565 | Audrey Okun-langlais | Family Medicine | 26 Barnard Ln, Kennebunk, ME 04043-6714 | 2005-12-19 |
| 1851377238 | Elizabeth Stockwell | Family Medicine | 2 Livewell Dr., The Medical Group Dept. of Goodall Hospital, Kennebunk, ME 04043-6762 | 2005-12-19 |
| 1578552766 | Joseph L Wolfson | Family Medicine | 4 Shape Dr, Kennebunk, ME 04043-6745 | 2005-10-19 |
| 1134752884 | Harpswell Coffin | Family Medicine | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2020-02-20 |
| 1760953319 | Southern Maine Wellness Works, LLC | Family Medicine | 69 York St Ste 4, Kennebunk, ME 04043-7186 | 2018-12-07 |
| Find all providers in KENNEBUNK | ||||
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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.