DR. CHARLES LAWRENCE CANNON M.D. NPI 1073519815

NPI Information

  • NPI: 1073519815
  • Provider Name: DR. CHARLES LAWRENCE CANNON, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1218 W WILLOW
    STE A
    ENID, OK
    ZIP 73703
  • Phone: (580) 233-2176

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NPI Details

DR. Charles Lawrence Cannon, M.D. is a gastroenterology internal medicine in Enid, OK. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Charles Lawrence Cannon, M.D. NPI is 1073519815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1218 W WILLOW
STE A
ENID, OK
ZIP 73703-534
Phone: (580) 233-2176
Fax: (580) 233-2179

The NPI 1073519815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology17275OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000OTHEROKLAHOMATRICARE REGION 6
2100088540AMEDICAIDOKLAHOMA
3100007598OTHERGEORGIARAILROAD MEDICARE
4F30414MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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