Individual provider Active NPI

Sean C Cannone, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Copley, OH
National Provider Identifier
1467563874
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34007107 Issued in OH
Practice address
4645 Remmington Ave
Copley, OH 44321-1181
Phone
(330) 328-4570
Fax
(330) 529-4554
NPI assigned
Aug 31, 2006
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34007107 OH Primary

Addresses

Primary practice location

4645 Remmington Ave
Copley, OH 44321-1181

Mailing address

4645 Remmington Ave
Copley, OH 44321-1181
Phone (330) 328-4570

Other identifiers 1

IdentifierTypeStateIssuer
2197117MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007107OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC PastSince Jun 1, 2025 Accepting new patients
Mpac Texas, PLLC PastSince Nov 1, 2025 Accepting new patients
Mpac Mental Health West Virginia PLLC PastSince Feb 9, 2026 Accepting new patients
Midwest Post-Acute Care of California PC PastSince Oct 1, 2019 Accepting new patients
Mpac Aco Reach PLLC PastSince Jan 1, 2024 Accepting new patients
Hospice of the Western Reserve at University Hospitals, LLC Geriatric Medicine PastSince Feb 26, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sean.cannone.1@15486.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1467563874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 REMMINGTON AVE",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211181",
            "telephone_number": "330-328-4570",
            "fax_number": "330-529-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 REMMINGTON AVE",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211181",
            "telephone_number": "330-328-4570",
            "fax_number": "330-529-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNONE",
        "first_name": "SEAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34007107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.