DR. CHARLES LAWRENCE CANNON (M.D.) – Gastroenterology Physician, NPI 1073519815

DR. CHARLES LAWRENCE CANNON (M.D.) is a healthcare provider. based in Enid, Oklahoma. specializing in Gastroenterology Physician. They hold the professional credentials M.D.. They hold a License No. 17275 (OK). The NPI Number for DR. CHARLES LAWRENCE CANNON (M.D.) is 1073519815

Main info

Male
Sole Proprietor
Name
DR. CHARLES LAWRENCE CANNON (M.D.)
NPI
1073519815
Phone
(580) 233-2176
Address
1218 W WILLOW RD
Enumeration Date
27 June 2005
Deactivation Date
17 March 2006
Reactivation Date
27 March 2006
Last Update Date
11 December 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES LAWRENCE CANNON (M.D.)

  • 1218, West Willow Road, Enid, Garfield County, Oklahoma, 73703, United States

    STE A

    ENID, OK 737032534

    Phone: (580) 233-2176

    Fax: (580) 233-2179

    Type: Mailing

  • East Willow Road, Enid, Garfield County, Oklahoma, United States

    STE A

    ENID, OK 737032534

    Phone: (580) 233-2176

    Fax: (580) 233-2179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73703)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES LAWRENCE CANNON (M.D.)?
NPI 1073519815 is assigned to DR. CHARLES LAWRENCE CANNON (M.D.) under the national enumeration system.
Is DR. CHARLES LAWRENCE CANNON (M.D.) currently active in the NPI registry?
CMS-published data lists DR. CHARLES LAWRENCE CANNON (M.D.) as an active registrant.
Does DR. CHARLES LAWRENCE CANNON (M.D.) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for DR. CHARLES LAWRENCE CANNON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. CHARLES LAWRENCE CANNON (M.D.)?
We surface Enid, Oklahoma for DR. CHARLES LAWRENCE CANNON (M.D.) based on available NPPES addresses.
Is DR. CHARLES LAWRENCE CANNON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1073519815. Always confirm identity and privileges with the practice and licensing boards.

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