SCOTT CANNON
Student in an Organized Health Care Education/Training Program

Address: Ut Southwestern Medical Center 5200 Harry Hines Blvd, Dallas, TX 75390-0001

SCOTT CANNON (NPI# 1760074488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760074488
Entity Type Individual
Full Name SCOTT CANNON
Gender Male
Credential DMD
Practice Address Ut Southwestern Medical Center 5200 Harry Hines Blvd
Dallas
TX 75390-0001
Practice Telephone 2146453979
Practice Fax Number 2146487620
Mailing Address 203 Berkshire Dr
Princeton
NJ 08540-9467
Mailing Telephone 7328879063
Certification Date 2021-02-02
Enumeration Date 2021-02-04
Last Update Date 2021-02-04
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address UT SOUTHWESTERN MEDICAL CENTER 5200 HARRY HINES BLVD
City DALLAS
State TX
Zip Code 75390-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861080046 Evgenios Evgeniou Plastic Surgery Ut Southwestern Medical Centre 1801 Inwood Road, Dallas, TX 75390-0001 2021-01-04
1063020014 Bilaal Hassan Student in an Organized Health Care Education/Training Program Ut Southwestern Medical Center 5323 Harry Hines Blvd D, Dallas, TX 75390-0001 2020-07-15
1255959805 Richard Tanner Hardy Student in an Organized Health Care Education/Training Program Ut Southwestern Medical Center 5323 Harr Hines Blvd, Dallas, TX 75390-0001 2020-07-09
1831715275 Giselle Peng Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blcd, Dallas, TX 75390-0001 2020-06-22
1871115253 Soolmaz Laknezhad Student in an Organized Health Care Education/Training Program 5323 Harry Hine Boulvard, Dallas, TX 75390-0001 2020-05-08
1487283495 Jack Beale Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard Dallas Tx 75390-8876, Dallas, TX 75390-0001 2020-04-02
1497384523 Heather Ashley Jones Student in an Organized Health Care Education/Training Program 5323harry Hines Blvd, Dallas, TX 75390-0001 2020-04-01
1497383558 Jason Granger Bunn Student in an Organized Health Care Education/Training Program 5233 Harry Hines Boulevard, Dallas, TX 75390-0001 2020-04-01
1982232625 Jennifer Rose Gueler Student in an Organized Health Care Education/Training Program Department of Surgery 5323 Harry Hines Blvd, Dallas, TX 75390-0001 2020-03-30
1265069983 Ashley E Alexander Student in an Organized Health Care Education/Training Program 3523 Harry Hines Blvd, Dallas, TX 75390-0001 2020-03-24
Find all providers in zip 75390-0001

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1467075655 Richard Mark Bresler Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 2020-05-21
1356970735 Fabricio Stewan Feltrin Student in an Organized Health Care Education/Training Program 5323 Harry Hynes Boulevard, Dallas, TX 75390 2020-04-07
1477016467 Seagal Raza Dauglas Student in an Organized Health Care Education/Training Program 5323 Harry Hines Mc9159, Dallas, TX 75390 2019-04-08
1831674340 Adwoa Aninkorah Nurse Practitioner · Family Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 2018-10-01
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1912439720 Linsey Lindley Student in an Organized Health Care Education/Training Program 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 2017-03-30
1043759418 Alyssa Macchiaroli Registered Nurse · Oncology 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 2017-02-18
1609313980 Megan Rasmussen Bollner · Megan Rasmussen-Bollner Physician Assistant 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 2017-01-25
1518329168 Danny Hsu Yang Hospitalist 6201 Harry Hines Blved, Dallas, TX 75390 2016-03-23
1780046532 Omer Mirza Hospitalist 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 2016-03-22
Find all providers in zip 75390

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316538994 Morgan Paige Click 8213 Meadow Rd Apt 1137, Dallas, TX 75231-3813 2021-01-27
1992393094 Hector Alberto Chaires 6401 Maple Ave Apt 4109, Dallas, TX 75235-5537 2021-01-05
1902494172 Erinma Erica Ogwumike 2293 Hawes Ave Apt 2368, Dallas, TX 75235-4671 2021-01-04
1992301238 Miranda Hairgrove 4414 Cedar Springs Rd Apt 327, Dallas, TX 75219-2031 2020-12-10
1326643602 Blaine Oldham 2140 Medical District Dr Apt 3008, Dallas, TX 75235-8264 2020-12-03
1760098271 Danielle Mortimer 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 2020-09-20
1285243469 Tommy Tan 5226 Fleetwood Oaks Ave Apt 114, Dallas, TX 75235-8105 2020-07-23
1982213138 Sophia Cosmich Ut Southwestern Medical School 5325 Harry Hines Blvd, Dallas, TX 75390-9006 2020-07-23
1114536331 Victor Liaw 5233 Harry Hines Blvd, Dallas, TX 75390-9006 2020-07-23
1093323552 Joshua D Cox 2222 Medical District Dr Apt 4315, Dallas, TX 75235-8054 2020-07-21
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75390

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.