Michael Louis Cannon
MD | Pediatric Critical Care Medicine | Male
Michael Louis Cannon, MD is a Winston Salem, North Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Michael Louis Cannon is
Medical Center Blvd, Winston Salem, North Carolina - 27157-0001. He can be contacted on phone at
336-716-2255.
Michael Louis Cannon is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Louis Cannon is
1578540076 which was assigned by NPPES on 27 Dec, 2005 and it was last updated on 11 Nov, 2016.
Michael Louis Cannon license number is
0095-00033 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in North Carolina.
Michael Louis Cannon is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Michael Louis Cannon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Michael Louis Cannon |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Louis Cannon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Medical Center Blvd
Winston Salem, NC, 27157-0001
United States |
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| Phone Number : | 336-716-2255 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578540076 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Dec, 2005 |
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| Last Updated On : | 11 Nov, 2016 |
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Medicare Participation:
Michael Louis Cannon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8921143769 |
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| Medicare Enrollment ID : | I20100304000870 |
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| Primary Specialty : | Anesthesiology |
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| Medical School : | Brody School Of Medicine At East Carolina University |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Michael Louis Cannon accepts medicare insurance. |
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Group Practice Association:
Michael Louis Cannon is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael Louis Cannon is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Wake Forest University Health Sciences | 4486564952 | 1942 | Medical Ctr Blvd
Winston Salem, NC - 271570001
Ph: 3367162734 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Louis Cannon are as mentioned. Primary taxonomy code for Michael Louis Cannon, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 0095-00033 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Michael Louis Cannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 5445723 | Other | NC | AETNA |
| 891131R | MEDICAID | NC | |
| 24396 | Other | NC | PARTNERS |
| 79555 | Other | NC | MEDCOST |
| 1131R | Other | NC | BLUE CROSS |
| Q00031 | MEDICAID | SC | |
| 6729746 | MEDICAID | VA | |
| 2004805000 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 344
Winston Salem, NC, 27102-0344
United States |
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| Phone Number : | 336-716-2255 |
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Business Location:
Patients can refer following map for directions to
Michael Louis Cannon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.