Izegbea M. Cannon (NPI# 1013389022, PAC ID# 9830409291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013389022 |
| PAC ID by PECOS | 9830409291 |
| Professional Enrollment ID | I20151116000132 |
| Full Name | Izegbea M. Cannon |
| Organization Legal Name | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| Address |
1941 Bishop Ln Suite 900 Louisville KY 40218-1963 |
| Phone Number | 5028526684 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476725599 |
| Number of Group Practice Members | 619 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 180141 | UNIVERSITY OF LOUISVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1963 | 5028526684 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| 240 Masonic Home Dr, Masonic Home, KY 40041-9000 | 5028732356 | MANDM MEDICAL CLINICS LLC |
| Organization Legal Name | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| Physicians | 721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jane Wilkens | Pediatric Medicine | University of Louisville Physicians, Inc | 411 E Chestnut St, Louisville, KY 40202-1713 |
| Joseph G. D'ambrosio | Clinical Social Worker | University of Louisville Physicians, Inc | 300 E Market St, Suite 490, Louisville, KY 40202-1959 |
| Elaine K Courtney | Physician Assistant | University of Louisville Physicians, Inc | 550 S Jackson St 2nd Floor, Louisville, KY 40202-1622 |
| Sean Warren | Family Medicine | University of Louisville Physicians, Inc | 215 Central Ave, Suite 100, Louisville, KY 40208-1450 |
| Lacy L Ochs | Pediatric Medicine | University of Louisville Physicians, Inc | 555 S Floyd St, Louisville, KY 40202-3822 |
| Joseph Neimat | Neurology | University of Louisville Physicians, Inc | 3104 Blackiston Blvd, New Albany, IN 47150-9579 |
| Mohamed M Hegazi | Hematology/oncology | University of Louisville Physicians, Inc | 529 S Jackson St, Louisville, KY 40202-3229 |
| Kevin Marques | Obstetrics/gynecology | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Christopher J. Compton | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Jennifer Hopkins | Pediatric Medicine | University of Louisville Physicians, Inc | 231 E Chestnut St, Louisville, KY 40202-1821 |
| Street Address |
1941 BISHOP LN SUITE 900 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40218-1963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly M Mosley | Nurse Practitioner | 1941 Bishop Ln, Suite 506, Louisville, KY 40218-1969 | |
| Ellen Ballard | Physical Medicine and Rehabilitation | 1941 Bishop Ln, Suite 200, Louisville, KY 40218-1973 | |
| Melissa Lynn Humphreys | Nurse Practitioner | University of Louisville Physicians, Inc | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1963 |
| Laura R Smith | Clinical Social Worker | 1941 Bishop Ln, Suite 1019, Louisville, KY 40218-1928 | |
| Ronnita M Usher | Nurse Practitioner | University of Louisville Physicians, Inc | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1963 |
| Melissa Novak | Clinical Social Worker | 1941 Bishop Ln, Suite 1019, Louisville, KY 40218-1928 | |
| Ashley M Iles | Family Medicine | University of Louisville Physicians, Inc | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1963 |
| Melanie Drury | Nurse Practitioner | 1941 Bishop Ln, Suite 800, Louisville, KY 40218-1975 | |
| Patricia Sue Walsh | Clinical Social Worker | 1941 Bishop Ln, Suite 707, Louisville, KY 40218-1981 | |
| Kara King | Nurse Practitioner | Ellen M. Ballard, M.d. Pllc | 1941 Bishop Ln, Suite 200, Louisville, KY 40218-1973 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Gendeman | Occupational Therapy | 3309 Wellingmoor Ave, Louisville, KY 40218-1028 | |
| Lili S Lutgens | Clinical Social Worker | 2210 Goldsmith Ln, Suite 100, Louisville, KY 40218-1038 | |
| Barbara A Dekay | Clinical Social Worker | 2210 Goldsmith Ln, Louisville, KY 40218-1038 | |
| Christy L Osting | Clinical Social Worker | 2210 Goldsmith Ln, Suite 230, Louisville, KY 40218-1070 | |
| Maria T Mccauley | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Kelly Stilz George | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Robert L Sasser | Internal Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Gary W Davis | Family Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Benjamin Michael Schaffer | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
| Benjamin R Mccullar | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
| Find all physicians in zip 40218 | |||
| City | LOUISVILLE |
| Zip Code | 40218 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Izegbea M. 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.