MR. BRYANT CANNON (NPI# 1801081393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801081393 |
| Entity Type | Individual |
| Full Name | MR. BRYANT CANNON |
| Practice Address |
544 E Ogden Ave 700-265 Milwaukee WI 53202-2698 |
| Practice Telephone | 4147451737 |
| Mailing Telephone | 4147451737 |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | VN188908 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
544 E OGDEN AVE 700-265 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063845857 | Adam D Franzen | Physical Therapist | 544 E Ogden Ave, Suite 9, Milwaukee, WI 53202-2698 | 2013-08-15 |
| 1386943066 | Community Care Housing LLC | Substance Abuse Rehabilitation Facility | 544 E Ogden Ave, Ste 700-268, Milwaukee, WI 53202-2698 | 2011-03-21 |
| 1265730113 | Leon Malachinski | General Practice | 544 E Ogden Ave, Milwaukee, WI 53202-2698 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540618 | Bryan Koudim | Specialist/Technologist, Other | 9047 W Greenfield Ave, Milwaukee, WI 53214-2808 | 2016-10-27 |
| 1366790867 | Tanya Lynne Watson | Specialist/Technologist, Other | 620 S 76th St, Milwaukee, WI 53214-1599 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780931725 | Angelina Marie Lettiere | Specialist/Technologist, Other | 3508 Stewart Ave, Wausau, WI 54401-4919 | 2012-08-09 |
| 1710244876 | Robert Pamenter | Specialist/Technologist, Other | 3424 Superior Ave, Sheboygan, WI 53081-1862 | 2012-04-13 |
| 1073795506 | Kristine J. Clark | Specialist/Technologist, Other | Valley Orthopedic Clinic Sc, 2105 E Enterprise Ave., Ste 111, Appleton, WI 54913-7862 | 2007-11-27 |
| 1386775906 | Barbara Marie Van Lieshout | Specialist/Technologist, Other | 229 Meadow Ct, Jefferson, WI 53549-1184 | 2007-03-07 |
| 1770611741 | Steven Weber | Specialist/Technologist, Other | 305 Karen Ct, Madison, WI 53705-5026 | 2007-03-01 |
| 1962419457 | Diana Mccarthy | Specialist/Technologist, Other | 714 Oregon St, Oshkosh, WI 54902-5968 | 2006-08-01 |
| 1073528493 | Ashley Marie Rockey | Specialist/Technologist, Other | 2105 E Enterprise Ave Ste 111, Appleton, WI 54913-7862 | 2006-07-31 |
| 1407337991 | Debora Armstrong | Specialist/Technologist, Other | 2001 W Broadway, Monona, WI 53713-3707 | 2018-08-23 |
| 1205372323 | Sadie Olson | Specialist/Technologist, Other | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2017-01-12 |
| 1710323563 | Physically Correct Physical Therapy Services, LLC | Specialist/Technologist, Other | 5889 Riverside Dr, Greendale, WI 53129-2817 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
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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.