Bruce W Cannon (NPI# 1861487217, PAC ID# 2163423823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1861487217 |
| PAC ID by PECOS | 2163423823 |
| Professional Enrollment ID | I20070123000365 |
| Full Name | Bruce W Cannon |
| Organization Legal Name | SHERIDAN HEALTHCARE OF WEST VIRGINIA INC |
| Address |
20 Hospital Dr Logan WV 25601-3452 |
| Phone Number | 3047921101 |
| Gender | M |
| Credential | DO |
| Medical School | KANSAS CITY MEDICAL COLLEGE |
| Graduation Year | 1978 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5092719328 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| 510070 | RALEIGH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1710 Harper Rd, Beckley, WV 25801-3397 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| 20 Hospital Dr, Logan, WV 25601-3452 | 3047921101 | SHERIDAN HEALTHCARE OF WEST VIRGINIA INC |
| Organization Legal Name | SHERIDAN HEALTHCARE OF WEST VIRGINIA INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Baisden | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Giles Allen Bowman | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Cynthia Motes Gagnon | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| William B Mullen | Anesthesiology | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Henry Kirk Giles | Anesthesiology | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Anthony Jason Dean | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Street Address |
20 HOSPITAL DR |
| City | LOGAN |
| State | WV |
| Zip | 25601-3452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prabhat K Sinha | Family Medicine | 20 Hospital Dr, Suite 3, Toms River, NJ 08755-6434 | |
| Nilay Nirdosh | Hospitalist | Apogee Medical Group, West Virginia, Pllc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Chad E Baisden | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Anoop Porwal | Physical Medicine and Rehabilitation | 20 Hospital Dr, 17a, Toms River, NJ 08755-6434 | |
| Robert M Austin | Emergency Medicine | Health Care Alliance, Inc. | 20 Hospital Dr, Logan, WV 25601-3452 |
| Anita L Hergert | Nurse Practitioner | Ocean Family and Geriatric Associates LLC | 20 Hospital Dr, Suite 3, Toms River, NJ 08755-6434 |
| Robert Eguares Perez | Internal Medicine | Logan General Hospital LLC | 20 Hospital Dr, Logan, WV 25601-3452 |
| Parag V Patel | Cardiovascular Disease (cardiology) | Nj Heart Institute, Pa | 20 Hospital Dr, 12b, Toms River, NJ 08755-6434 |
| Said Hajouli | Hospitalist | Apogee Medical Group, West Virginia, Pllc | 20 Hospital Dr, Logan, WV 25601-3452 |
| James C Paugh Ii | General Surgery | Logan General Hospital LLC | 20 Hospital Dr, Logan, WV 25601-3452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad B Faridi | Internal Medicine | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Melissa Kitchen | Nurse Practitioner | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Karunasree Kanuri | Family Medicine | 1115 2nd Ave, West Logan, WV 25601-3309 | |
| Amber M Ellis | Nurse Practitioner | Living Waters Medical Center | 100 Main Ave, Logan, WV 25601-3323 |
| Jamie L Hall-jasper | Podiatry | 100 Main Ave, Logan, WV 25601-3323 | |
| Douglas K Hibbs | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Jennifer Marie Oneal | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Emad Y Mousa | Obstetrics/gynecology | 77 Hospital Dr, Suite 200, Logan, WV 25601-3451 | |
| Zial Salem | Gastroenterology | Logan General Hospital LLC | 79 Hospital Dr, Logan, WV 25601-3451 |
| Michael B Beres | Ophthalmology | 77 Hospital Dr, Suite 401, Logan, WV 25601-3451 | |
| Find all physicians in zip 25601 | |||
| City | LOGAN |
| Zip Code | 25601 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LOGAN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Bruce W Cannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.