Joe R Cannon (NPI# 1396839817, PAC ID# 7719028844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1396839817 |
| PAC ID by PECOS | 7719028844 |
| Professional Enrollment ID | I20101101000163 |
| Full Name | Joe R Cannon |
| Organization Legal Name | ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC |
| Address |
3190 Antilley Rd Abilene TX 79606-5015 |
| Phone Number | 3256725603122 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1974 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0143306498 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3190 Antilley Rd, Abilene, TX 79606-5015 | 3256725603122 | ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC |
| Organization Legal Name | ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig D Urban | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Linda F Larsen | Nurse Practitioner | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Paras Batuk Ramolia | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Kleesy Lynn Thomas | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| William W Voelter | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Sina Aboutalebi | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Street Address |
3190 ANTILLEY RD |
| City | ABILENE |
| State | TX |
| Zip | 79606-5015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig D Urban | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Linda F Larsen | Nurse Practitioner | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Paras Batuk Ramolia | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Kleesy Lynn Thomas | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| William W Voelter | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Sina Aboutalebi | Dermatology | Abilene Dermatology and Skin Surgery Center PC | 3190 Antilley Rd, Abilene, TX 79606-5015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Laitinen | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Erik Robert Hargett | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Dale Lee Wren | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Brandon Dupont | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| David Nash | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Travis Frederick Mackenzie | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Richard Young Thorpe | Internal Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Christian P Mannsfeld | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Glenn R Kunsman | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Jeffrey D Johnson | Certified Registered Nurse Anesthetist (crna) | 5601 Health Ctr Dr, Abilene, TX 79606-1225 | |
| Find all physicians in zip 79606 | |||
| City | ABILENE |
| Zip Code | 79606 |
| Specialty | DERMATOLOGY |
| City + Specialty | ABILENE + DERMATOLOGY |
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| 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.