NPIMap

Organization Active NPI

Charles a Cannon Jr Memorial Hospital Inc.

Doing business as Cannon Medical Associates

  • Primary Care Clinic/Center
  • Linville, NC
National Provider Identifier
1053510081
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20060073 Issued in NC
Legal business name
CHARLES A CANNON JR MEMORIAL HOSPITAL INC.
Doing business as
Cannon Medical Associates
Practice address
436 Hospital Drive
Linville, NC 28646
Phone
(828) 737-7865
Fax
(828) 737-7867
NPI assigned
Jul 11, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael A Sthay, M.D.
Title
Physician
Phone
(828) 737-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20060073 NC Primary

Addresses

Primary practice location

436 Hospital Drive
Linville, NC 28646

Mailing address

PO Box 459
Linville, NC 28646-0459
Phone (828) 737-7865

Other identifiers 7

IdentifierTypeStateIssuer
1912985706OtherNCDANIEL FRAYNE NPI
132NKOtherNCBCBS PROVIDER NUMBER
5902144MedicaidNCNC MEDICAID GROUP NUMBER
5903632MedicaidNCDR STHAY INDIVIDUAL MCAID
1417943218OtherNCMICHAEL STHAY NPI
018G2OtherNCNC BCBS GROUP NUMBER
89132NKMedicaidNCDR FRAYNE INDIVIDUAL MCAI

Other names 1

  • CANNON MEDICAL ASSOCIATES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

National Provider Directory

National Provider Directory
Tax ID family
Baldwin Emerg Physicians14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1053510081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "286460459",
            "telephone_number": "828-737-7865",
            "fax_number": "828-737-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DRIVE",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7865",
            "fax_number": "828-737-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A CANNON JR MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "STHAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "828-737-7865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "20060073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DANIEL FRAYNE NPI",
            "identifier": "1912985706",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "132NK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "NC MEDICAID GROUP NUMBER",
            "identifier": "5902144",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "DR STHAY INDIVIDUAL MCAID",
            "identifier": "5903632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL STHAY NPI",
            "identifier": "1417943218",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS GROUP NUMBER",
            "identifier": "018G2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "DR FRAYNE INDIVIDUAL MCAI",
            "identifier": "89132NK",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CANNON MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.