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DR. PETER M CANNON M.D.
NPI 1326032939
Urology in Idaho Falls, ID

Active since September 09, 2005
2001 S WOODRUFF AVE, SUITE 4, IDAHO FALLS, ID 83404(208) 524-4511(208) 524-4540 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter M Cannon M.d. NPPES

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

DR. PETER M CANNON M.D. (NPI 1326032939) is an individual urology provider in Idaho Falls, Idaho, licensed in Idaho (M-3494) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1326032939
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PETER M CANNONCredential: M.D.
Location Address2001 S WOODRUFF AVE, SUITE 4Idaho Falls, ID 83404-6374
Mailing Address2001 S Woodruff Ave, Suite 4Idaho Falls, ID 83404-6374 · (208) 524-4511 · Fax (208) 524-4540
Phone(208) 524-4511
Fax(208) 524-4540
Sole ProprietorYes
Enumeration DateSeptember 9, 2005
Last NPPES UpdateApril 6, 2011
✔ NPI 1326032939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in ID · M-3494
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2001 S WOODRUFF AVE, Idaho Falls, ID 83404
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Other Identifiers 3

Medicare ID-Type Unspecified1111220ID
Medicare UPINC36843ID
Medicaid002502000ID

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.

MARK L MILLER R.C.S.,R.V.S.
Specialist/Technologist Cardiovascular
2001 S WOODRUFF AVE, SUITE 12B
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2498
IHC HEALTH SERVICES INC
Internal Medicine (Cardiovascular Disease)
2001 S WOODRUFF AVE, #12
IDAHO FALLS, ID 83404
Bonneville County (801) 387-2655
MR. WILLIAM EMMETT ARMOUR III M.D.
Internal Medicine (Pulmonary Disease)
2001 S WOODRUFF AVE, SUITE 12A
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2440
CLUB, INC.
Voluntary or Charitable
2001 S WOODRUFF AVE, SUITE 6
IDAHO FALLS, ID 83404
Bonneville County (208) 529-4673
MRS. JANAE LYNN DYE CRT
Respiratory Therapist, Certified
2001 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2498
TETON NUCLEAR MEDICINE SERVICE LLC
Nuclear Medicine (Nuclear Imaging & Therapy)
2001 S WOODRUFF AVE, STE 20
IDAHO FALLS, ID 83404
Bonneville County (208) 525-3201
CORNELIUS PAUL BROOKE MD
Dermatology
2001 S WOODRUFF AVE, STE 12A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-8945
HEALTH & WELLNESS CENTER OF IDAHO PLLC
Family Medicine
2001 S WOODRUFF AVE, SUITE 5
IDAHO FALLS, ID 83404
Bonneville County (208) 528-8777

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 Peter Cannon's NPI number?

The NPI number for Peter Cannon is 1326032939. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Peter Cannon located?

Peter Cannon practices at 2001 S Woodruff Ave Suite 4, Idaho Falls, ID 83404. The listed phone number is (208) 524-4511.

What is Peter Cannon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Peter Cannon was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.