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JAY CANNON MD PC NPI 1528194321


NPI Information

NPI: 1528194321
Provider Name: JAY CANNON MD PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3435 NW 56TH ST STE 210
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4240
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JAY CANNON MD PC is a surgery in Oklahoma City, OK. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JAY CANNON MD PC NPI is 1528194321. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3435 NW 56TH ST STE 210
OKLAHOMA CITY, OK
ZIP 73112-414
Phone: (405) 945-4240
Fax: (405) 945-4242

The provider's authorized official is Jay P Cannon .
The authorized official title is Owner and has the following contact phone number (405) 945-4240.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery9490OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHEROKLAHOMAFEDERAL TIN
2800522197MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
3D34473MEDICARE UPINOKLAHOMA
4100104400AMEDICAIDOKLAHOMA
5020054098MEDICARE PINOKLAHOMA

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: 4/28/2024

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