Cannon, Michael B
Cannon, Michael B is an individual health care provider with primary practice located at 5224 E I 240 Service Rd Ste 201 , Oklahoma City OK 73135-2607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Cannon, Michael B can be contacted via phone (405) 608-3800.Contact Information
Primary practice address
5224 E I 240 Service Rd Ste 201
Oklahoma City OK 73135-2607
Phone: (405) 608-3800
Fax: (405) 242-5962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17716 | Oklahoma |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K8048 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 17716 | Oklahoma |
Profile Details
| NPI number | 1750376026 |
|---|---|
| LBN Legal business name | Cannon, Michael B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jun 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750376026 | NPPES |
| Texas | Other | 87491N | BL TX |
| Texas | MEDICAID | 100137740A | BL TX |
| Texas | MEDICAID | 138370001 | BL TX |
| Texas | MEDICAID | 045603002 | BL TX |
Popular Providers
-
Chaffin, John Stephen
3433 Nw 56Th St Ste 760, Oklahoma City OK 73112-4430 -
Long, James Walter
3400 Nw Expressway Suite 200, Oklahoma City OK 73112-4491 -
Bodenhamer, Robert Mark
4050 W Memorial Rd Fl 3 , Oklahoma City OK 73120-8382 -
Elkins, Charles Craig
3433 Nw 56Th St Ste 760, Oklahoma City OK 73112-4430 -
Boggs, Brian R
4200 W Memorial Rd Suite 610, Oklahoma City OK 73120-9350 -
Didonato, Roberto M
940 Ne 13Th St 3B3311, Oklahoma City OK 73104-5008 -
Thompson, Jess Lee
1200 Childrens Ave Ste 2E, Oklahoma City OK 73104-4637 -
Cheatham, James E.
4050 W Memorial Rd Fl 3 , Oklahoma City OK 73120-8382