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DR. PAUL B CANNON DPM NPI 1740285022


NPI Information

NPI: 1740285022
Provider Name: DR. PAUL B CANNON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: PRIVIA MEDICAL GROUP, LLC

PECOS Registration: Yes

CLIA Number: 49D2197182

Address:
104A E BROAD ST
FALLS CHURCH, VA
ZIP 22046
Phone: (703) 237-1555
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DR. Paul B Cannon, DPM is a foot and ankle surgery podiatrist in Falls Church, VA with 22 years of experience. DR. Paul B Cannon, DPM NPI is 1740285022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

104A E BROAD ST
FALLS CHURCH, VA
ZIP 22046-501
Phone: (703) 237-1555
Fax: (703) 237-2253

The NPI 1740285022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 49D2197182 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

The enumeration date for this NPI number is 6/14/2005 and was last updated on 12/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery01424MARYLANDNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO1000043DISTRICT OF COLUMBIANo
3213ES0103XPodiatristFoot & Ankle Surgery0103300931VIRGINIAYes
4213ES0103XPodiatristFoot & Ankle SurgeryILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V04601MEDICARE UPINVIRGINIA
2G02077F01MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.