Organization Active NPI

Cannon Medical Transportation

  • Taxi
  • Rochester, NY
National Provider Identifier
1053868109
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
CANNON MEDICAL TRANSPORTATION
Practice address
65 Lilac Dr
Rochester, NY 14620-3207
Phone
(585) 465-3969
Fax
(585) 328-6226
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Patrick Roaul Cannon
Title
President
Phone
(585) 465-3969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X NY Primary

Addresses

Primary practice location

65 Lilac Dr
Rochester, NY 14620-3207

Mailing address

65 Lilac Dr
Rochester, NY 14620-3207
Phone (585) 465-3969

Other identifiers 1

IdentifierTypeStateIssuer
04284520MedicaidNY

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1053868109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LILAC DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203207",
            "telephone_number": "585-465-3969",
            "fax_number": "585-328-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LILAC DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203207",
            "telephone_number": "585-465-3969",
            "fax_number": "585-328-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-465-3969"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04284520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.