Active NPI
Michael Todd Cannon, DO
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4284
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9907 - Phone
- (918) 561-5720
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4284 | OK | Primary |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9907
Mailing address
11820 N 177TH East Ave
Collinsville, OK 74021-5149
Phone (918) 688-4762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Oklahoma State University Medical Center
- Saint Francis Hospital, Inc
- Cherokee Nation W W Hastings Indian Hospital
- Claremore Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4284 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAlester Regional Health Center Authority | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Oklahoma State University | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Oklahoma State University | Emergency Medicine | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Norstar Emergency Physicians | Past | Accepting new patients | |
| Lightstar Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Oklahoma State University Medical Trust | Past | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Past | Accepting new patients |
| Seminole Health Center LLC | Past | Accepting new patients |
Locations
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Dept 2269
Tulsa, OK 74182
Dept 2563
Tulsa, OK 74182
744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- tcannon325795@ahs.direct-ci.com
- michael.todd.cannon.1@23846.direct.athenahealth.com
- mcannon211372@direct.saintfrancis.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1306882261
Emergency Medicine
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Shawnee, OK
- NPI 1396736872
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norman, OK
- NPI 1093709537
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1124080106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 N 177TH EAST AVE",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740215149",
"telephone_number": "918-688-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W 9TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741279907",
"telephone_number": "918-561-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.