Robert Cannon (NPI# 1215373139, PAC ID# 6305084427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215373139 |
| PAC ID by PECOS | 6305084427 |
| Professional Enrollment ID | I20170214000482 |
| Full Name | Robert Cannon |
| Address |
1901 Mission Suite 66 Vicksburg MS 39180-3711 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250031 | MERIT HEALTH RIVER REGION |
| Address | Phone | Organization |
|---|---|---|
| 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 19% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 4% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 42% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 6% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 28% |
| Street Address |
1901 MISSION SUITE 66 |
| City | VICKSBURG |
| State | MS |
| Zip | 39180-3711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Calvin Masterson | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Carlos A Latorre | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| William O Mccraney | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Charles D Hosemann | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Matthew C Futvoye | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Roy B Kellum | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Laura F Thornton | Nurse Practitioner | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| John R Barnes | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Robert Lee Giffin | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Abdul G Bahro | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey P Beckwith | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Ashley T Karel | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Namita Arora | Psychiatry | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Lisa Parker | Nurse Practitioner | Wound Care Associates LLC | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 |
| Paul D Murry | Chiropractic | 1109 Mission Park Dr, Vicksburg, MS 39180-3700 | |
| Albert Chiemprabha | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Susan H Needham | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Maranda Eversoll | Nurse Practitioner | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Vishwanath Shenoy | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Miles David Ashley | Optometry | The Vision Clinic of Vicksburg LLC | 1808 Mission, Suite 66, Vicksburg, MS 39180-3710 |
| Find all physicians in zip 39180 | |||
| City | VICKSBURG |
| Zip Code | 39180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VICKSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert 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.