Joe Ronald Cannon

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

E2498 Issued in TX

Legal business name

JOE RONALD CANNON

Doing business as

Abilene Dermatopathology Lab

Practice address

802 Orange St
Abilene, TX 79601-4020

Phone

(325) 672-2162

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Joe R Cannon, MD

Title

Dermatopathologist

Phone

(325) 672-2162

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Abilene Dermatopathology Lab Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1073647962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3611",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043611",
            "telephone_number": "325-672-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 ORANGE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014020",
            "telephone_number": "325-672-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE RONALD CANNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DERMATOPATHOLOGIST",
        "authorized_official_telephone_number": "325-672-2162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "E2498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025322101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CL0449",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abilene Dermatopathology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jim Ned Anesthesia, PLLC
• Jesus Emmanuel Jimenez Diaz, DC
• Marco Antonio Jimenez, D.P.T.
• Jimmy Wadley Eye Care PA
• Vinita Jobes
• John H. Judd, MD, PA
• John L. Estes III DDS Inc
• Richard P Johnsen, DMD
• Johnson Chiropractic Center, PC
• Johnson Dental Group PLLC

• Clinical Medical Laboratory in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.