MICHAEL W CANNON (NPI# 1982666236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982666236 |
| Entity Type | Individual |
| Full Name | MICHAEL W CANNON |
| Credential | MD |
| Practice Address |
818 N Emporia St Suite 403 Wichita KS 67214-3729 |
| Practice Telephone | 3162624467 |
| Practice Fax Number | 3162620706 |
| Mailing Telephone | 3162624467 |
| Mailing Fax Number | 3162620706 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0418085 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DMERC REGION 1 | 1286700004 | 01 |
| KS | DMERC REGION 1 | 1286700006 | 01 |
| KS | DMERC REGION 1 | 1286700007 | 01 |
| KS | DMERC REGION 1 | 1286700015 | 01 |
| KS | DMERC REGION 1 | 1286700009 | 01 |
| KS | 100189850A | 05 | |
| KS | DMERC REGION 1 | 1286700011 | 01 |
| KS | DMERC REGION 1 | 1286700013 | 01 |
| KS | DMERC REGION 1 | 1286700002 | 01 |
| KS | DMERC REGION 1 | 1286700012 | 01 |
| DMERC REGION 1 | 1286700008 | 01 | |
| KS | DMERC REGION 1 | 1286700003 | 01 |
| KS | DMERC REGION 1 | 1286700005 | 01 |
| KS | DMERC REGION 1 | 12867010010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861952251 | Michael L Cannon | Counselor | 5206 Walnut Ct, Lithonia, GA 30038-4873 | 2019-03-21 |
| 1902223118 | Michael David Cannon | Psychiatry & Neurology | 6535 N Charles St Ste 300, Baltimore, MD 21204-5824 | 2014-03-25 |
| 1477863504 | Michael Dee Cannon | Psychologist | 9629 Highway 270, Pine Bluff, AR 71602-9493 | 2010-10-07 |
| 1205047594 | Michael T Cannon | Psychiatry & Neurology | 4721 Reading Road, Cincinnati, OH 45237 | 2007-05-25 |
| 1033131495 | Michael J Cannon | Obstetrics & Gynecology | 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811 | 2006-07-24 |
| 1124080106 | Michael Todd Cannon | Emergency Medicine | 11820 N 177th East Ave, Collinsville, OK 74021-5149 | 2006-04-05 |
| 1811596232 | Michael Kollin Cannon | Physical Therapist | 5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 | 2020-10-19 |
| 1154823441 | Michael Cannon | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| 1487036786 | Michael Cannon | Physical Therapist | 11219 Potranco Rd, Building A Suite 110, San Antonio, TX 78253-5848 | 2015-06-23 |
| 1922494673 | Michael Cannon | Podiatrist | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2015-04-09 |
| Street Address |
818 N EMPORIA ST SUITE 403 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116835 | Duane L Osborne | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2005-07-07 |
| 1053727800 | Tracy D Smith | Nurse Practitioner | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2014-07-01 |
| 1336401082 | Aaron Nilhas | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2012-06-08 |
| 1205164282 | Bernard T. Poole, Md, Pa | Orthopaedic Surgery | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2009-12-02 |
| 1679704845 | Julianna M Bergkamp | Nurse Practitioner | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2009-08-05 |
| 1609004316 | Amanda M Valliant | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2009-07-01 |
| 1730320367 | Kathy Ornelas | Specialist/Technologist, Other | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2009-03-11 |
| 1437316387 | Ronnie K Moussa | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2008-05-19 |
| 1104025949 | Wissam Saliba | Internal Medicine | 818 N Emporia St, Wichita, KS 67214-3729 | 2007-07-12 |
| 1528263043 | Jeremy Deutsch | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598916769 | Cancer Center of Kansas, P.a. | Internal Medicine | 817 N. Emporia, Wichita, KS 67214-3709 | 2008-10-07 |
| 1184862732 | Cancer Center of Kansas, P.a. | Internal Medicine | 550 N Hillside St, Critical Care Center, Wichita, KS 67214-4910 | 2009-02-04 |
| 1821249137 | Cancer Center of Kansas, P.a. | Internal Medicine | 3243 E. Murdock, Suite 300, Wichita, KS 67208-3006 | 2008-10-06 |
| 1518974948 | Seth Joel Page | Internal Medicine | 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 | 2006-08-01 |
| 1558323758 | Phu V Truong | Internal Medicine | 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 | 2006-04-04 |
| 1932161155 | Pavan S Reddy | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-04-04 |
| 1043272305 | Dennis F Moore Jr. | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-04-03 |
| 1417918079 | Shaker R Dakhil | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-03-31 |
| 1053372649 | Bassam I Mattar | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-03-31 |
| 1528029147 | Nassim H Nabbout | Internal Medicine | 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 | 2006-03-31 |
| Find all providers in WICHITA | ||||
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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.