Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES LAWRENCE CANNON, M.D.
Deactivated Sole ProprietorDR. CHARLES LAWRENCE CANNON, M.D. is a Gastroenterology healthcare provider located in ENID, Oklahoma. NPI 1073519815 is deactivated in the NPPES registry. Verify at CMS.
Gastroenterology · ENID, OK
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1073519815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2005 (0.72054794520548 yrs)
- Last Updated
- Dec 11, 2012
- Deactivated
- Mar 17, 2006
- License
-
17275 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1218 W WILLOWSTE AENID, OK, 737032534Browse OK providers · Browse ZIP 73703
- Phone
- 5802332176
- Fax
- 5802332179
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in ENID, OK
| Name | Credential | NPI |
|---|---|---|
| CRISTOPHER D SCHULTZ | D.O. | 1881693752 |
| STEPHEN S HWANG | M.D., PH.D. | 1497740468 |
| MR. MICHAEL R GROSSMAN | MD | 1538158233 |
| DR. TRENTON FERRELL HORST | D.O. | 1861476517 |
| SANKU S RAO | MD | 1992864086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.