Douglas Todd Cannon (NPI# 1376569210, PAC ID# 9739267683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1376569210 |
| PAC ID by PECOS | 9739267683 |
| Professional Enrollment ID | I20130805000074 |
| Full Name | Douglas Todd Cannon |
| Organization Legal Name | CAMPBELL CLINIC PC |
| Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
| Phone Number | 9017593100 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 9638082076 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| 440183 | ST FRANCIS HOSPITAL |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1400 S Germantown Rd, Germantown, TN 38138-2205 | 9017593100 | CAMPBELL CLINIC PC |
| 7545 Airways Blvd, Southaven, MS 38671-5806 | 9017593196 | CAMPBELL CLINIC PC |
| Organization Legal Name | CAMPBELL CLINIC PC |
| Physicians | 87 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler James Brolin | Orthopedic Surgery | Campbell Clinic PC | 7545 Airways Blvd, Southaven, MS 38671-5806 |
| William Mihalko | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Kelly D Lee | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jacquelyn Mcdonald | Physical Therapy | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Jennifer Brown | Physical Therapy | Campbell Clinic PC | 7545 Airways Blvd, Southaven, MS 38671-5806 |
| William Kurts | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jeffrey Sawyer | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Keith D Williams | Orthopedic Surgery | Campbell Clinic PC | 7545 Airways Blvd, Southaven, MS 38671-5806 |
| Walter Diggs | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Joseph Matthew Ingram | Orthopedic Surgery | Campbell Clinic PC | 1458 W Poplar Ave, Suite 100, Collierville, TN 38017-0630 |
| Street Address |
1400 S GERMANTOWN RD |
| City | GERMANTOWN |
| State | TN |
| Zip | 38138-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Mihalko | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Jacquelyn Mcdonald | Physical Therapy | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Raymond J Gardocki | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Matthew I Rudloff | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Erica Suzanne Zimmerman | Physician Assistant | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Nahum Beard | Family Medicine | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Elizabeth Mary Friedmann | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| James H Beaty | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Edward A Perez | Orthopedic Surgery | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Jenny Cox | Physical Therapy | Campbell Clinic PC | 1400 S Germantown Rd, Germantown, TN 38138-2205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Foley | Dermatology | 2195 W St, Germantown, TN 38138 | |
| Jeffrey M Bishop | Nurse Practitioner | 6655 Poplar Ave, Suite 204, Germantown, TN 38138-0643 | |
| Michael A Nelson | Cardiovascular Disease (cardiology) | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Tracie L. Luther | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Lesa J Beaver | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Kelly D Lee | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| William Kurts | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jeffrey Sawyer | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Walter Diggs | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jennifer Gourley Huffman | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Find all physicians in zip 38138 | |||
| City | GERMANTOWN |
| Zip Code | 38138 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | GERMANTOWN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Douglas Todd 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.