Jay Cannon Md Pc

LBN: Jay Cannon Md Pc
Jay Cannon Md Pc is an health care organization with primary practice located at 3435 Nw 56Th St Ste 210 , Oklahoma City OK 73112-4414. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jay Cannon Md Pc can be contacted via phone (405) 945-4240, or through Cannon, Jay P via phone (405) 945-4240.

Contact Information

Primary practice address
3435 Nw 56Th St Ste 210 Oklahoma City OK 73112-4414
Phone: (405) 945-4240
Fax: (405) 945-4242
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Jay P Doctor of Medicine (MD)
Phone: (405) 945-4240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9490 Oklahoma

Profile Details

NPI number 1528194321
LBN Legal business name Jay Cannon Md Pc
DBA Doing business as
Authorized official Cannon, Jay P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jun 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528194321 NPPES
Oklahoma MEDICAID 100104400A

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