Paul B Cannon DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103300931 Issued in VA

Legal business name

PAUL B CANNON DPM PC

Practice address

104A E Broad St
Falls Church, VA 22046-4501

Phone

(703) 237-1555

Fax

(703) 237-2253

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul B Cannon, DPM

Title

President

Phone

(703) 237-1555

Specialties & licenses 3

Addresses

Other names 1

• Falls Church Foot and Ankle Center Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1356456503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104A E BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464501",
            "telephone_number": "703-237-1555",
            "fax_number": "703-237-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104A E BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464501",
            "telephone_number": "703-237-1555",
            "fax_number": "703-237-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B CANNON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-237-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300931",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0893300001",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "0893300001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falls Church Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Elizabeth Patrick
• Benjamin Patterson, CCP
• Travis Thames Patterson III, D.M.D.
• Jessie Alexandra Patton, LCSW
• Patwary Management Corporation
• Heather Michelle Paulino, NP STUDENT
• Dolores S Paulson, D.S.W.
• Lynn Ellen Paulson, LCSW
• Denis Pauze, MD
• Jessica Pawlowski, RN

• Foot & Ankle Surgery Podiatrist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.