Michael Louis Cannon in Winston Salem - Pediatric Critical Care Medicine
Michael Louis Cannon - NPI 1578540076
Michael Louis Cannon is a Pediatric Critical Care Medicine in Winston Salem, North Carolina. Michael Louis Cannon practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Michael Louis Cannon is 1578540076. The last update date is 2016-11-11.
Michael Louis Cannon's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255. The mailing address for Michael Louis Cannon is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Louis Cannon |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578540076 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2016-11-11 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 0095-00033 |
|
Definition: A pediatrician 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 surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5445723 | NC | AETNA | |
| 891131R | NC | -- | |
| 1131R | NC | BLUE CROSS | |
| 2004805000 | WV | -- | |
| 79555 | NC | MEDCOST | |
| 6729746 | VA | -- | |
| 24396 | NC | PARTNERS | |
| Q00031 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Louis Cannon?
The Michael Louis Cannon has been issued the NPI (National Provider Identifier) 1578540076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Michael Louis Cannon's facilities are geographically located?
The facilities of Michael Louis Cannon are physically situated at the following location: Po Box 344, Winston Salem, NC, 271020344.
What is Michael Louis Cannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Louis Cannon is Pediatric Critical Care Medicine, and the taxonomy code that classifies this field of practice is 2080P0203X.
When was the Michael Louis Cannon's 1578540076 issued?
The Michael Louis Cannon's 1578540076 was issued on 2005-12-27.
When was the Michael Louis Cannon's information last updated?
The Michael Louis Cannon's information was last updated on 2016-11-11.