1. Home
  2. Directory
  3. Oklahoma
  4. Enid
  5. Internal Medicine
  6. NPI Profile

DR. CHARLES LAWRENCE CANNON M.D.
NPI 1073519815
Internal Medicine - Gastroenterology in Enid, OK

Active since June 27, 2005
1218 W WILLOW, STE A, ENID, OK 73703(580) 233-2176(580) 233-2179 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Lawrence Cannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES LAWRENCE CANNON M.D. (NPI 1073519815) is an individual gastroenterology provider in Enid, Oklahoma, licensed in Oklahoma (17275) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1073519815
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CHARLES LAWRENCE CANNONCredential: M.D.
Location Address1218 W WILLOW, STE AEnid, OK 73703-2534
Mailing Address1218 W Willow Rd, Ste AEnid, OK 73703-2534 · (580) 233-2176 · Fax (580) 233-2179
Phone(580) 233-2176
Fax(580) 233-2179
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 11, 2012
✔ NPI 1073519815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 17275
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1218 W WILLOW, Enid, OK 73703
Open in Google Maps ↗

Other Identifiers 4

Other0000OK · Tricare Region 6
Medicaid100088540AOK
Other100007598GA · Railroad Medicare
Medicare UPINF30414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Cannon's NPI number?

The NPI number for Charles Cannon is 1073519815. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Charles Cannon located?

Charles Cannon practices at 1218 W Willow Ste A, Enid, OK 73703. The listed phone number is (580) 233-2176.

What is Charles Cannon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Charles Cannon was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.