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Deactivated NPI 1104948827 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Clark Cannell , MD

Pediatrics • Yuma, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Cannell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2007
NPI Deactivation Date January 25, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Cannell, MD was a registered Pediatrics practicing in Yuma, AZ. Throughout an active medical career spanning 14 years, Dr. Cannell provided care at the practice location at 2359 22ND DRIVE until profile deactivation on 2021-01-25.

Practice Location & Contact Primary Location

Practice Address

2359 22nd Drive
#2

Yuma, AZ 85364

Telephone 9283444800
Fax 9287262377
Associated Practice Facility / Clinic
🏢 Yuma Pediatrics Facility NPI 1871653550

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Yuma, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Yuma, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ AZ5459

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1174678577

Doctor of Medicine (M.D.)

NPI 1467491613

Doctor of Medicine (M.D.)

NPI 1639230287

Doctor of Medicine (M.D.)

Maureen Mclellan , RN PNP

Nurse Practitioner

NPI 1750442307

RNPNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 25, 2021

Record deactivated on January 25, 2021

NPI Profile Active January 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2012

Registered at 2359 22ND DRIVE, #2, YUMA, AZ 85364 (Tel: 9283444800)

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Updated Business Mailing Address January 27, 2012

Registered at 2359 22ND DRIVE, #2, YUMA, AZ 85364 (Tel: 9283444800)

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Provider Name / Credentials Updated January 27, 2012

Recorded as ROBERT CANNELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2012

Pediatrics (License #AZ5459 in AZ)

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Initial NPI Registration & Enumeration April 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104948827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: January 27, 2012
Deactivation Date: January 25, 2021

Mailing Address

2359 22nd Drive, #2

Yuma, AZ 85364

Phone: 9283444800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.