Chad Michael Cannon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26477 Issued in OK

Practice address

8131 S. Memorial Drive
Suite 107
Tulsa, OK 74133-4348

Phone

(918) 252-5114

Fax

(918) 748-7688

NPI assigned

Jun 27, 2008

Sex

Male

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 OK

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

Specialty

Anesthesiology

Education

University of Oklahoma College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Sooner Anesthesia Services LLCGroup PAC ID 7416919899, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515
  Medicare reassignment Care Compare group NPD
• Sooner Anesthesia Services LLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1720080401
  Medicare reassignment Care Compare group
• Anesthesia Associates of Tulsa, PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1174970669
  Medicare reassignment NPD
• Northstar Anesthesia of Oklahoma, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043516628

  OK

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1790947083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "800-232-5703",
            "fax_number": "918-748-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 S. MEMORIAL DRIVE",
            "address_2": "SUITE 107",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334348",
            "telephone_number": "918-252-5114",
            "fax_number": "918-748-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "26477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geovana Canizalez Pedroza
• Tanya Cannady
• Rachele B Cannavo
• Andy Allen Cannon, APRN
• Brandi Nicole Cannon, MA:MFT US
• Changa H. Cannon, D.D.S.
• Daniel Simmonds Cannon
• Jessica Cannon, LCSW
• Kathleen Sue Cannon, D.D.S.
• Michael Todd Cannon, DO

• Anesthesiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.