Zane Cannon, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-17054 Issued in AR

Practice address

628 Hospital Dr Ste C
Mountain Home, AR 72653-2965

Phone

(870) 508-7450

NPI assigned

May 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Baxter County Regional Hospital, Inc

  dba Baxter Health Internal Medicine & Infectious Disease Clinic

  • Internal Medicine Physician
  • Mountain Home, AR
  • NPI 1982273512
  Medicare reassignment NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health Pulmonology Clinic

  • Pulmonary Disease Physician
  • Mountain Home, AR
  • NPI 1699549048
  NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health Pain Clinic

  • Interventional Pain Medicine Physician
  • Mountain Home, AR
  • NPI 1811859606
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1922674050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CLARK ST # A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016531",
            "telephone_number": "870-530-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR STE C",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532965",
            "telephone_number": "870-508-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ZANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-17054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Camp, MHPP
• Kelli Michele Camp, DNP, APN, FNP-BC
• Michael James Camp, M.D.
• Jessica L Campbell
• Michael G Campbell, MD
• Eydie Nerissa Cantrell, LPC
• Caraway Counseling Services, LLC
• Anna Claire Caraway
• Shannon Caraway, LCSW
• Cardiovascular Associates of Northcentral Arkansas, P.a.

• Internal Medicine Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.