Organization Active NPI

Cannon Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Spring Hill, FL
National Provider Identifier
1043953680
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CANNON MEDICAL TRANSPORTATION
Doing business as
Cannon Medical Transportation LLC
Practice address
18748 Rococo Rd
Spring Hill, FL 34610-0100
Phone
(585) 331-6060
Fax
(585) 331-6060
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick Cannon, PRESIDENT
Title
Owner
Phone
(585) 331-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

18748 Rococo Rd
Spring Hill, FL 34610-0100

Mailing address

12 Clintwood Dr Apt a
Rochester, NY 14620-6525
Phone (585) 331-6060

Other identifiers 1

IdentifierTypeStateIssuer
04284520MedicaidNY

Other names 1

  • Cannon Medical Transportation LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cannon Medical Transportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1043953680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLINTWOOD DR APT A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146206525",
            "telephone_number": "585-331-6060",
            "fax_number": "585-328-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18748 ROCOCO RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346100100",
            "telephone_number": "585-331-6060",
            "fax_number": "585-331-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-331-6060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04284520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Medical Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.