STEPHEN JAMES CANON M.D.
NPI 1033277108
Urology - Pediatric Urology in Little Rock, AR

Q: What is Stephen Canon's NPI number?

The NPI number for Stephen Canon is 1033277108. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Stephen Canon's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Canon was last updated on October 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-3960 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stephen James Canon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN JAMES CANON M.D. (NPI 1033277108) is an individual pediatric urology provider in Little Rock, Arkansas, licensed in Arkansas (E-6307) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1033277108

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameSTEPHEN JAMES CANONCredential: M.D.

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-3960

Phone(501) 364-1100

Fax(501) 364-3960

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999

Enumeration DateDecember 4, 2006

Last NPPES UpdateOctober 10, 2022

NPPES CertifiedOctober 10, 2022

✔ NPI 1033277108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in AR · E-6307✔ Licensed in OH · 86246✔ Licensed in TX · M5656

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen James Canon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688775414

PECOS Enrollment IDI20070724000527

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADOLFO D. GARNICA MD

Medical Genetics (Clinical Genetics (M.D.))