Mrs. Katie M Cannon, PA-C
Physician Assistant in Linden, New Jersey
1215071725- Practice location
- 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900
- Phone
- 908-486-1111
- Fax
- 908-486-2723
- Last updated
- December 16, 2020
Katie Marria Cannon is a Physician Assistant based in Linden, NJ. Katie Marria Cannon practices in Linden, NJ and has the professional credentials of PA-C. The NPI Number for Katie Marria Cannon is 1215071725 and holds a License No. 25MP00279100 (NJ). The current practice location address for Katie Marria Cannon is 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 and can be reached out via phone at 908-486-1111 and via fax at 908-486-2723.
Provider Profile Details
- NPI Number
- 1215071725
- Provider Name
- Katie Marria Cannon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900
- Phone Number
- 908-486-1111
- Fax Number
- 908-486-2723
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Miss Katie Marria Singer, ATC (Former Name)
- Provider Enumeration Date
- February 16, 2007
- Last Update Date
- December 16, 2020
- Certification Date
- December 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 W Saint Georges Ave Fl 2
Linden, NJ 07036-3900 - City
- Linden
- State
- New Jersey
- Zip
- 07036-3900
- Phone Number
- 908-486-1111
- Fax Number
- 908-486-2723
Provider Business Mailing Address Details
- Address
- 210 W Saint Georges Ave Fl 2
Linden, NJ 07036-3900 - City
- Linden
- State
- NJ
- Zip
- 07036-3900
- Phone Number
- 908-486-1111
- Fax Number
- 908-486-2723
License Information
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 25MP00279100
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- 25MP00279100
- License State (3)
- NJ
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Katie M Cannon, PA-C?
The NPI number of Mrs. Katie M Cannon, PA-C is 1215071725. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Katie M Cannon, PA-C?
Mrs. Katie M Cannon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00279100.
Where does Mrs. Katie M Cannon, PA-C practice?
The practice location is 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900. The office can be reached at 908-486-1111 (phone) or 908-486-2723 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215071725 directly on the NPPES registry website.