Mark A Cannon (NPI# 1720169295, PAC ID# 6204833379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1720169295 |
| PAC ID by PECOS | 6204833379 |
| Professional Enrollment ID | I20121020000016 |
| Full Name | Mark A Cannon |
| Organization Legal Name | WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. |
| Address |
757 Armstrong Ave Kansas City KS 66101-2701 |
| Phone Number | 9132333300 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5496745325 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 | 9132870007 | WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. |
| 757 Armstrong Ave, Kansas City, KS 66101-2701 | 9132333300 | WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. |
| Organization Legal Name | WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cora Evelyn Franklin | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Joan E Anderson Patterson | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Edna K Hamera | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong, Kansas City, KS 66101-2701 |
| Christie Marie Mensch | Psychiatry | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Philip L Bohlander | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Eberechi Osuagwu | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Kathryn Mettman | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Jeffrey D Hubbell | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 1301 N 47th St, Wyandot Center, Kansas City, KS 66102-1705 |
| Street Address |
757 ARMSTRONG AVE |
| City | KANSAS CITY |
| State | KS |
| Zip | 66101-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan E Anderson Patterson | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Philip L Bohlander | Clinical Social Worker | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Eberechi Osuagwu | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong Ave, Kansas City, KS 66101-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edna K Hamera | Nurse Practitioner | Wyandot Center for Community Behavioral Healthcare, Inc. | 757 Armstrong, Kansas City, KS 66101-2701 |
| City | KANSAS CITY |
| Zip Code | 66101 |
| Specialty | PSYCHIATRY |
| City + Specialty | KANSAS CITY + PSYCHIATRY |
Please comment or provide details below to improve the information on Mark A 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.