Active NPI
Odest Frank Cannon Jr., M.D.
- Orthopaedic Surgery Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0052187
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069474600 | Medicaid | FL |
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
Enrollment records 1
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
- Cora Health Services Inc
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
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0052187 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Surgery Consultants, LLC | Orthopaedic Surgery | Current | 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.
-
- Neurological Surgery Physician
- Palm Harbor, FL
- NPI 1962957589
Orthopaedic Surgery
-
dba Advanced Rehabilitation
- Rehabilitation Clinic/Center
- Ocala, FL
- NPI 1851331201
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Urology Physician
- Brooksville, FL
- NPI 1366629628
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.