| Christopher E Cannon, MD | |
|
1698 E. Mcandrews Rd,, Suite 300, Medford, OR 97504-5590 | |
| (541) 732-7850 | |
| (541) 732-7851 |
| Full Name | Christopher E Cannon |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 1698 E. Mcandrews Rd,, Medford, Oregon |
| 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 |
|---|---|---|---|
| 1487650586 | NPI | - | NPPES |
| 500635923 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD155248 (Oregon) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD155248 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Platte Valley Hospital | Brighton, CO | Hospital |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | Hospital |
| Intermountain Health Saint Joseph Hospital | Denver, CO | Hospital |
| Intermountain Health Lutheran Hospital | Golden, CO | Hospital |
| National Jewish Health | Denver, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Platte Valley Medical Group Llc | 5890054100 | 120 |
| Intermountain Medical Group Denver Llc | 0840513552 | 571 |
| Entity Name | Intermountain Medical Group Denver LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Entity Name | Platte Valley Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922812593 PECOS PAC ID: 5890054100 Enrollment ID: O20180112000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher E Cannon, MD Po Box 3158, Portland, OR 97208-3158 Ph: (541) 732-7850 | Christopher E Cannon, MD 1698 E. Mcandrews Rd,, Suite 300, Medford, OR 97504-5590 Ph: (541) 732-7850 |
Helen Koenigsman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 E Barnett Rd, Medford, OR 97504 Phone: 541-779-4711 |
Dr. Todd S Kotler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 |
Dr. Mark G Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 |
Dr. June Symens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Black Oak Dr Ste 400, Medford, OR 97504 Phone: 541-821-6090 |
Donald L Bowser, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr, Suite 100, Medford, OR 97504 Phone: 541-789-5704 Fax: 541-789-5989 |
Margaret Sara Fairhurst, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 400, Medford, OR 97504 Phone: 541-732-7960 |
Darcie Kathleen Sternenberg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Myrtle St, Medford, OR 97504 Phone: 541-773-3863 Fax: 541-618-4413 |