Michael E Cannon (NPI# 1154348761, PAC ID# 4587714076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154348761 |
| PAC ID by PECOS | 4587714076 |
| Professional Enrollment ID | I20090603000491 |
| Full Name | Michael E Cannon |
| Organization Legal Name | ST LOUIS MEDICAL CLINIC, P.C. |
| Address |
3009 N Ballas Rd 100b Saint Louis MO 63131-2322 |
| Phone Number | 3144321111 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 2961496765 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 | 3144321111 | ST LOUIS MEDICAL CLINIC, P.C. |
| Organization Legal Name | ST LOUIS MEDICAL CLINIC, P.C. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren J Pearson | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Harry L Wadsworth | Endocrinology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Rebecca D Peck | Dermatology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Maureen E Stoffa | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Ying Du | Rheumatology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| John Raymond Groll | Cardiovascular Disease (cardiology) | St Louis Medical Clinic, P.C. | 1900 State St, Chester, IL 62233-1116 |
| Michael W Lowhorn | Podiatry | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Steven E Fern | Gastroenterology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Steven D Jacobson | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Gayathri V Raman | Family Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Street Address |
3009 N BALLAS RD 100B |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63131-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee S Portnoff | Dermatology | 3009 N Ballas Rd, 310a, St Louis, MO 63131-2353 | |
| Benjamin A Voss | Internal Medicine | Physician Groups Lc | 3009 N Ballas Rd, 227a Associated Internists, Saint Louis, MO 63131-2308 |
| Michele C Woodley | Gastroenterology | Missouri Baptist Physician Services LLC | 3009 N Ballas Rd, Suite 359c, Saint Louis, MO 63131-2324 |
| Robert B Lehman | Cardiovascular Disease (cardiology) | Physician Groups Lc | 3009 N Ballas Rd, 260c Bjcmg Cardiology, Saint Louis, MO 63131-2382 |
| Andrew Robert Fisher | Obstetrics/gynecology | Physician Groups Lc | 3009 N Ballas Rd, 354c Contemporay Womens Healthcare, Saint Louis, MO 63131-2383 |
| Darren J Pearson | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Harry L Wadsworth | Endocrinology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Rebecca D Peck | Dermatology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Maureen E Stoffa | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
| Daniel L Kitchens | Neurosurgery | 3009 N Ballas Rd, 304a, Saint Louis, MO 63131-2324 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajid Zafar | Gastroenterology | 12950 Woodlark Ln, Saint Louis, MO 63131-1314 | |
| Kira S Mailey | Nephrology | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | |
| Laura A Baldridge | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Megan M Cox | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Daniel P Gogliotti | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Jessica L Hilgedick | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Robert Becker | Psychologist, Clinical | 2190 S Mason Rd, Suite 200, Saint Louis, MO 63131-1637 | |
| Lauren Christine Sanderson | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Sona Kamat | Internal Medicine | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Allison Anne Krull | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Find all physicians in zip 63131 | |||
| City | SAINT LOUIS |
| Zip Code | 63131 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael E 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.