Cynthia Cannon, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1877491205 Issued in UT

Practice address

455 E South Temple
#202
Salt Lake City, UT 84111-1350

Phone

(801) 355-9951

Fax

(801) 355-9968

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba Bountiful InstaCare

  • Emergency Medicine Physician
  • Bountiful, UT
  • NPI 1689709875
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Hannele Laine, MD, PC

  • Specialist
  • SLC, UT
  • NPI 1629376405
  NPD (past)
• Mary K. Beard MD

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1669617445
  NPD (past)
• Cheaha Regional Mental Health Mental Retardation Board, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylacauga, AL
  • NPI 1275687451
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700894383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111350",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111350",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "1877491205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Canella, MED LCPC
• Steven M Canfield, D.D.S.
• Nazife Canitez
• Rebeca Chantel Cannaday
• Breana Cannon
• Dale Sherman Cannon, PH.D.
• David H Cannon, DDS
• Donald M Cannon, MD
• Eleanor Cannon
• Ella Joy Cannon, OTR/L

• Obstetrics & Gynecology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.