STEPHEN JEROME CANNON (NPI# 1790737294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790737294 |
| Entity Type | Individual |
| Full Name | STEPHEN JEROME CANNON |
| Credential | CRNA |
| Practice Address |
4810 N Davis Hwy Pensacola FL 32503-2341 |
| Mailing Address |
4828 N Davis Hwy Pensacola FL 32503-2341 |
| Practice Telephone | 8504748988 |
| Practice Fax Number | 8504765312 |
| Mailing Telephone | 8504778109 |
| Mailing Fax Number | 8504782412 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 28237950A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9205700 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | G1321 | 01 |
| AL | 009982295 | 05 | |
| PALMETTO GBA-RR MEDICARE | P00166590 | 01 | |
| AL | BCBS | 59169961 | 01 |
| AL | BCBS | 59169960 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000001096178 | 01 |
| IN | 300004501 | 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 |
| 1689602013 | Stephen C Cannon | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-28 |
| 1962461095 | Stephen Caldwell Cannon | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| Street Address |
4810 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585602 | Donald Joseph Fontenot Jr. | Nurse Anesthetist, Certified Registered | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2005-11-17 |
| 1598091365 | Teresa Ann Delongchamp | Nurse Anesthetist, Certified Registered | 4810 N Davis Hwy, Pensacola, FL 32503 | 2009-10-28 |
| 1649470238 | Lorraine G Ripps | Pathology | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2007-07-20 |
| 1346383148 | Venancio S Teves | Pathology | 4810 N Davis Hwy, Suite 2, Pensacola, FL 32503-2341 | 2007-02-14 |
| 1033263603 | Douglas Keith Bradford | Nurse Anesthetist, Certified Registered | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2007-01-22 |
| 1073609566 | Judy A Purvis | Nurse Anesthetist, Certified Registered | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-10-04 |
| 1659467272 | Robert F. Patton | Anesthesiology | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-10-04 |
| 1841385333 | Norman W Haines Jr. | Internal Medicine | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-10-03 |
| 1972697936 | Gastroenterology Associates of Pensacola Pa | Anesthesiology | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-10-03 |
| 1215978259 | Byron Wayne Ashmore | Anesthesiology | 4810 N Davis Hwy, Pensacola, FL 32503-2341 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262123 | Paul Andrew Valentine | Nurse Anesthetist, Certified Registered | 4018 Embers Lndg, Pensacola, FL 32505-3434 | 2019-12-19 |
| 1316304736 | Jeri Rose Chandler | Nurse Anesthetist, Certified Registered | 7477 Farmers Rd, Pensacola, FL 32526-3223 | 2016-01-16 |
| 1891092516 | Nathaniel Robert Clark | Nurse Anesthetist, Certified Registered | Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2011-02-15 |
| 1912225533 | Brian Duane Atchison | Nurse Anesthetist, Certified Registered | 6000 W Highway 98 Naval Hospital, Pensacola, FL 32512-0003 | 2010-05-06 |
| 1134339187 | Laura A Cohen | Nurse Anesthetist, Certified Registered | 5983 Arch Ave, Pensacola, FL 32526-3232 | 2007-05-22 |
| 1952429607 | Edwardo Chavelo Weldon | Nurse Anesthetist, Certified Registered | 6000 U S 98, Pensacola, FL 32512-0001 | 2007-03-27 |
| 1821114018 | Betty Anderson Yapa | Nurse Anesthetist, Certified Registered | 1000 E Moreno St, Pensacola, FL 32503-5656 | 2007-03-21 |
| 1104911783 | Billy Scott Vinson | Nurse Anesthetist, Certified Registered | 4810 North Davis Highway, Pensacola, FL 32503 | 2006-10-03 |
| 1518064682 | Christina L Smith | Nurse Anesthetist, Certified Registered | 4801 N Davis Hwy, Pensacola, FL 32503-2342 | 2006-09-20 |
| 1790791218 | Kathryn L Lowrey | Nurse Anesthetist, Certified Registered | 9400 University Parkway, Pensacola, FL 32514 | 2006-08-01 |
| Find all providers in PENSACOLA | ||||
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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.