Individual provider Active NPI

Odest Frank Cannon Jr., M.D.

  • Orthopaedic Surgery Physician
  • Ocala, FL
National Provider Identifier
1871590794
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0052187 Issued in FL
Practice address
1015 SE 17TH St
#100
Ocala, FL 34471-3968
Phone
(352) 351-3422
Fax
(352) 351-9129
NPI assigned
Jul 7, 2005
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0052187 FL Primary

Addresses

Primary practice location

1015 SE 17TH St
#100
Ocala, FL 34471-3968

Mailing address

1015 SE 17TH St
#100
Ocala, FL 34471-3968
Phone (352) 351-3422

Other identifiers 1

IdentifierTypeStateIssuer
069474600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000315 FL Practitioner - Orthopedic Surgery 3072590629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Florida College of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Calhoun and Donnelly PAGroup PAC ID 8123936507, 23 clinicians
Florida Surgery Consultants, LLCGroup PAC ID 7618240110, 5 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1015 SE 17TH St
300 Mid Florida Physical Therapy
Ocala, FL 34471-3943
Phone (352) 629-4509

1015 SE 17TH St
Suite 200
Ocala, FL 34471-3942
Phone (727) 784-8600

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0052187FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Surgery Consultants, LLC Orthopaedic Surgery CurrentSince Jan 25, 2024 Accepting new patients
V.P. Nagarajan, M.D. Past Accepting new patients

Locations

3760 NW 83rd St
Ste 3
Gainesville, FL 32606
Phone (352) 332-7332

1015 SE 17th St
Ste 200
Ocala, FL 34471
Phone (352) 245-7788

311 SE 29th Pl
Ocala, FL 34471
Phone (352) 369-1411

12202 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-7779

3030 N Rocky Point Dr W
Ste 665
Tampa, FL 33607
Phone (727) 784-8600

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1871590794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SE 17TH ST",
            "address_2": "#100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713968",
            "telephone_number": "352-351-3422",
            "fax_number": "352-351-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SE 17TH ST",
            "address_2": "#100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713968",
            "telephone_number": "352-351-3422",
            "fax_number": "352-351-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ODEST",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0052187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069474600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.