SCOTT CANNON (NPI# 1760074488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Street Address | UT SOUTHWESTERN MEDICAL CENTER 5200 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-0001 |
| 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 | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | DALLAS |
| Zip Code | 75390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164472742 | Scott Lawrence Cannon | Specialist/Technologist, Pathology | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2006-05-12 |
| 1396170809 | Andrew Scott Cannon | Physical Therapist | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2013-09-04 |
| 1912594250 | Daniel Scott Freeman | Pharmacist | 425 Main St W, Cannon Falls, MN 55009-2044 | 2020-12-21 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine · Addiction Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1477563351 | Scott A. Cannon | Pediatrics | 8573 E San Alberto Dr, Suite E-100, Scottsdale, AZ 85258-4318 | 2006-08-09 |
| 1043325707 | Scott C Cannon | Family Medicine | 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758-7901 | 2006-08-20 |
| 1891847448 | Scott T Branyon | Dentist · General Practice | 1901 West Wm Cannon, Suite 137, Austin, TX 78745 | 2007-01-16 |
| 1194066753 | Gregory Scott Cannon | Registered Nurse · Administrator | 10065 E Harvard Ave, Ste400, Denver, CO 80231-5968 | 2013-03-07 |
| 1629192414 | Matthew Scott Miller | Pharmacist | 1706 S Cannon Blvd, Kannapolis, NC 28083-6104 | 2007-03-18 |
| 1104135078 | Stephanie Renee Scott | Counselor · Mental Health | 2501 W William Cannon Dr Ste A, Austin, TX 78745-5281 | 2010-09-27 |
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| 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.