Michael W. Cannon, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0418085 Issued in KS

Practice address

1 Mt. Carmel Way
Pittsburgh, KS 66762

Phone

(620) 231-6100

Fax

(316) 262-0706

NPI assigned

Apr 3, 2006

Last updated

Jul 28, 2022By the provider in NPPES

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

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in KS

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

Hematology/Oncology

Education

University of Kansas School of Med (KC/Wich/Sal), 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006
• Cox Barton County Hospital Hospital, Lamar, MO, CCN 261325
• Girard Medical Center Hospital, Girard, KS, CCN 171376
• Mercy Hospital Columbus Hospital, Columbus, KS, CCN 171308
• Labette Health Hospital, Parsons, KS, CCN 170120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Pittsburg LLC

  • Internal Medicine Physician
  • Pittsburg, KS
  • NPI 1912751884

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Ascension Via Christi Hospital Pittsburg, Inc.

  dba Professional Services

  • Internal Medicine Physician
  • Pittsburg, KS
  • NPI 1760408975

  Hematology & Oncology

  Medicare reassignment NPD
• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
  • NPI 1750314076
  NPD
• Regional Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1497773337
  NPD

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

• Hospital District No 1 Crawford County

  dba Girard Medical Center

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Care Compare affiliation
• Labette County Medical Center

  dba Labette Health

  • General Acute Care Hospital
  • Parsons, KS
  • NPI 1578560421
  Care Compare affiliation
• Mercy Hospital Columbus

  • Critical Access Hospital
  • Columbus, KS
  • NPI 1871829812
  Care Compare affiliation
• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  Care Compare affiliation
• Cox Barton County Hospital

  • Critical Access Hospital
  • Lamar, MO
  • NPI 1922514629
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1982666236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURGH",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-231-6100",
            "fax_number": "316-262-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURGH",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-231-6100",
            "fax_number": "316-262-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0418085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700013",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700005",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700015",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700004",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700012",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "12867010010",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700003",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700006",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189850A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700007",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION 1",
            "identifier": "1286700009",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Wayne Barkley, OD
• Donald Eugene Dangerfield Jr., ATC
• Pittsburg Family Medicine LLC

• Hematology & Oncology Physician in Pittsburgh, KS
• Providers in Pittsburgh, KS by specialty
• Hematology & Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.