RODRICK ALAN CANNON IDC
NPI 1194919449
Military Health Care Provider - Independent Duty Corpsman in Fpo, AA

Q: What is Rodrick Cannon's NPI number?

The NPI number for Rodrick Cannon is 1194919449. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Q: What is Rodrick Cannon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Rodrick Cannon was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2007

MCM CREW DOMINANT, FPO, AA 34093(619) 540-2957 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rodrick Alan Cannon Idc NPPES

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

RODRICK ALAN CANNON IDC (NPI 1194919449) is an individual independent duty corpsman provider in Fpo, AA and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1194919449

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameRODRICK ALAN CANNONCredential: IDC

Location AddressMCM CREW DOMINANTFpo, AA 34093

Mailing Address11521 Trinity Hill DrAustin, TX 78753-2826 · (619) 540-2957

Phone(619) 540-2957

Sole ProprietorYes

Enumeration DateAugust 30, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1194919449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

MCM CREW DOMINANT, Fpo, AA 34093

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodrick Cannon's NPI number?

The NPI number for Rodrick Cannon is 1194919449. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Rodrick Cannon located?

Rodrick Cannon practices at Mcm Crew Dominant, Fpo, AA 34093. The listed phone number is (619) 540-2957.

What is Rodrick Cannon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Rodrick Cannon was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.