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Deactivated NPI 1558442285 Deactivated / Inactive NPI Male Practitioner

Dr. Jay P Cannon , MD

Surgery • Oklahoma City, OK

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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. Jay Cannon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date June 09, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Cannon, MD was a registered Surgery practicing in Oklahoma City, OK. Throughout an active medical career spanning 16 years, Dr. Cannon provided care at the practice location at 3435 NW 56TH ST until profile deactivation on 2022-06-09.

Practice Location & Contact Primary Location

Practice Address

3435 Nw 56th St
Suite 210

Oklahoma City, OK 731124448

Telephone 4059454240
Fax 4059454242
Associated Practice Facility / Clinic
🏢 Northwest Otolaryngology Facility NPI 1649371923

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
141 Specialists

Practicing in Oklahoma City, OK (386 Statewide)

Telehealth Adoption Rate
5.0% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 9490

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1053418913

Doctor of Medicine (M.D.)

NPI 1073569315

Doctor of Medicine (M.D.)

NPI 1073577029

Doctor of Medicine (M.D.)

Dr. Susan Hakel , MD

Family Medicine

NPI 1174594550

Doctor of Medicine (M.D.)

Dr. Sumeeta Nanda , MD

Obstetrics & Gynecology

NPI 1245297894

Doctor of Medicine (M.D.)

NPI 1295706406

Doctor of Medicine (M.D.)

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 June 09, 2022

Record deactivated on June 09, 2022

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2008

Registered at 3435 NW 56TH ST, SUITE 210, OKLAHOMA CITY, OK 731124448 (Tel: 4059454240)

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Updated Business Mailing Address March 24, 2008

Registered at 3435 NW 56TH ST, SUITE 210, OKLAHOMA CITY, OK 731124448 (Tel: 4059454240)

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Provider Name / Credentials Updated March 24, 2008

Recorded as JAY CANNON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Surgery (License #9490 in OK)

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Initial NPI Registration & Enumeration October 18, 2006

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: 1558442285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: March 24, 2008
Deactivation Date: June 09, 2022

Mailing Address

3435 Nw 56th St, Suite 210

Oklahoma City, OK 731124448

Phone: 4059454240

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.