DR. GRANT WILSON CANNON (NPI# 1942239439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942239439 |
| Entity Type | Individual |
| Full Name | DR. GRANT WILSON CANNON |
| Credential | M.D. |
| Practice Address |
Vamc (11e) 500 Foothill Boulevard Salt Lake City UT 84148-0001 |
| Practice Telephone | 8015821565 |
| Practice Fax Number | 8015841277 |
| Mailing Telephone | 8015821565 |
| Mailing Fax Number | 8015841277 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
165454-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467678938 | Grant B. Cannon | Dentist | 4190 Highland Dr, Suite 112, Salt Lake City, UT 84124-2600 | 2007-04-17 |
| Street Address |
VAMC (11E) 500 FOOTHILL BOULEVARD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720493273 | Grace Skemp-dymond | Internal Medicine | 30 N 1900 E # Som4b200, Salt Lake City, UT 84132-0002 | 2014-06-24 |
| 1710407283 | David Shaskey Md LLC | Internal Medicine | 1121 E 3900 S Ste 125, Salt Lake City, UT 84124-1261 | 2017-06-26 |
| 1104359561 | Andrew B. Shaffer | Internal Medicine | 30 N 1900 E Rm 4b200, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1104220904 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1467870212 | Daniel Paul Erhardt | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-03-30 |
| 1912340126 | Tawnie Joy Braaten | Internal Medicine | University of Utah Hospital, 50 Medical Drive, Salt Lake City, UT 84132-2155 | 2013-04-08 |
| 1861767048 | Rebecca Overbury | Internal Medicine | University Hospital, Salt Lake City, UT 84132 | 2012-03-20 |
| 1861671059 | Karla Lissette Miller | Internal Medicine | 30 N 1900 E, 4b200 School of Medicine, Salt Lake City, UT 84132-0006 | 2007-10-24 |
| 1962602474 | Howard James Williams Jr. | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2007-07-23 |
| 1164512786 | Sara Jane Andersen | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
Please comment or provide details below to improve the information on DR. GRANT WILSON CANNON.
| 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.