Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114213691 Individual Practitioner Male Practitioner

Dr. Daniel Cannon , MD

Pediatrics • Saint George, UT

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Cannon, MD is a registered healthcare professional specializing in Pediatrics in Saint George, UT. Practice services are available at 1380 E MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1380 E Medical Center Dr

Saint George, UT 847902123

Telephone 4352512741
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint George, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint George, UT (688 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

CMS Verified: 2020-10-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 49302

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License UT 11968682-1205

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
701112 (AZ)
Commercial Insurance / Payer ID Medical License
49302 (AZ)

Practice Associates & Co-Workers

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

30 Associated Practitioners
Russell Rohr , APRN

Nurse Practitioner

NPI 1063296903

Advanced Practice Registered Nurse

Angela Stout

Nurse Practitioner - Family

NPI 1073062659
Dr. Steven Carter , DO

Internal Medicine

NPI 1083063267

Doctor of Osteopathic Medicine (D.O.)

Scott Munson , OT

Occupational Therapist

NPI 1104035112

Occupational Therapist

Cindy Emmett , FNP-BC

Nurse Practitioner - Family

NPI 1184499923

Family Nurse Practitioner (Board Certified)

Dr. Shelli Bregman , DO

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1184666307

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 13, 2020

Registered at 1380 E MEDICAL CENTER DR, SAINT GEORGE, UT 847902123 (Tel: 4352512741)

📍
Updated Business Mailing Address October 13, 2020

Registered at 2356 E 3480 S, SAINT GEORGE, UT 847907885

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2020

Pediatrics (License #11968682-1205 in UT)

NPI Profile Active September 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2014

Registered at 2152 S VINEYARD STE B129, MESA, AZ 852106871 (Tel: 4807320044)

📍
Updated Business Mailing Address September 19, 2014

Registered at 2461 E JENSEN ST, MESA, AZ 852133519

👤
Provider Name / Credentials Updated September 19, 2014

Recorded as DANIEL CANNON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2014

Pediatrics (License #49302 in AZ)

🟢
Initial NPI Registration & Enumeration June 23, 2011

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: 1114213691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2011
Last Update: October 13, 2020
Sole Proprietor: No

Mailing Address

2356 E 3480 S

Saint George, UT 847907885

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.