MR. GARTH MCKEAN CANNON (NPI# 1942209440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942209440 |
| Entity Type | Individual |
| Full Name | MR. GARTH MCKEAN CANNON |
| Credential | PA-C |
| Practice Address |
1912 W 930 N Pleasant Grove UT 84062-4104 |
| Practice Telephone | 8014921999 |
| Mailing Telephone | 8014921999 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5384822-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1912 W 930 N |
| City | PLEASANT GROVE |
| State | UT |
| Zip Code | 84062-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913303 | Alison Blake Thorne | Nurse Practitioner | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2019-07-01 |
| 1093290520 | Karlee Barnes Johnson | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2018-10-01 |
| 1467934737 | Justin Thomas Hewlett | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062 | 2018-09-04 |
| 1942711478 | Alicia Anderson Hill | Nurse Practitioner | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2017-10-24 |
| 1215448071 | Maddison Heyn | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2017-10-19 |
| 1992240253 | Alpine Pediatrics | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2016-12-22 |
| 1992190326 | Bryce Carter | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2015-04-02 |
| 1710370770 | Brady Mark Watkins | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2015-03-13 |
| 1750770269 | Sarah Babcock Homer | Nurse Practitioner | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2015-01-21 |
| 1740626894 | Darden Carroll Swords | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934406 | Welcome Home Assisted Living of American Fork | Assisted Living Facility | 1889 W 930 N, Pleasant Grove, UT 84062 | 2018-09-06 |
| 1497243414 | Doterra Employee Health Systems, LLC | Family Medicine | 1364 Pleasant Grove Blvd., Floor 3, Pleasant Grove, UT 84062 | 2018-04-25 |
| 1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
| 1235669011 | Rapid Reboot Recovery Products LLC | Durable Medical Equipment & Medical Supplies | 1262 W 3150 N, Pleasant Grove, UT 84062 | 2017-06-14 |
| 1497126486 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 272 S 671 W, Pleasant Grove, UT 84062 | 2015-10-15 |
| 1295146272 | North County Medical | Chiropractor | 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 | 2014-05-13 |
| 1861814493 | Trent Edwards | Case Manager/Care Coordinator | 365 West 1420 North, Pleasant Grove, UT 84062 | 2014-01-16 |
| 1013342690 | Michael M. Haderlie | Psychologist | 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 | 2013-09-13 |
| 1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
| 1356619266 | Melinda Buchanan-emery | Marriage & Family Therapist | 459 East 1000 South, Pleasant Grove, UT 84062 | 2011-12-06 |
| Find all providers in zip 84062 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290520 | Karlee Barnes Johnson | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2018-10-01 |
| 1467934737 | Justin Thomas Hewlett | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062 | 2018-09-04 |
| 1598274987 | Sheri Lynn Casey | Physician Assistant | 830 N 2000 W, Pleasant Grove, UT 84062 | 2017-09-28 |
| 1710370770 | Brady Mark Watkins | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2015-03-13 |
| 1720396153 | Michael Parramore Ryan | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2010-09-20 |
| 1073846622 | Kristi Lyn Cox | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2009-09-15 |
| 1699731067 | Ana M. Dalling | Physician Assistant | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1518583566 | Alexanders Fitness Company LLC | Physician Assistant | 245 S 1060 W, Lindon, UT 84042-1606 | 2020-06-24 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GROVE |
| Zip Code | 84062 |
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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.