| Austin Ron Cannon, MD | |
|
5121 S Cottonwood St, Murray, UT 84107-5701 | |
| (801) 507-7000 | |
| Not Available |
| Full Name | Austin Ron Cannon |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 5121 S Cottonwood St, Murray, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790179653 | NPI | - | NPPES |
| 10086826 | Other | UT | STATE OF UTAH ACTIVE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 10086826-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Saint Mary's Regional Medical Center | Reno, NV | Hospital |
| Renown South Meadows Medical Center | Reno, NV | Hospital |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gomez Kozar Mcelreath And Smith Professional Corporation | 1759369101 | 26 |
| Ihc Health Services Inc | 1850209420 | 3948 |
| Entity Name | Gomez Kozar Mcelreath and Smith Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760409783 PECOS PAC ID: 1759369101 Enrollment ID: O20040712000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Ron Cannon, MD 7417 S Rich Way, Cottonwood Heights, UT 84121-4840 Ph: (919) 608-2404 | Austin Ron Cannon, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 |
Mark John Ott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 |
Dr. Greg R. Goodman, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 |
Dr. Rebekah Faith Huckeby, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-3462 |
Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 |
Dr. Jane Alston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 410, Murray, UT 84107 Phone: 801-507-1600 |
Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 |
Clark J Rasmussen, MD Surgery Medicare: Medicare Enrolled Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 |