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DR. MARY L CANNON M.D.
NPI 1679532592
Radiology - Diagnostic Radiology in Morgantown, WV

Active since March 20, 2006
101 STADIUM DR, MORGANTOWN, WV 26506(304) 598-4000(304) 293-6963 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2021, Jan 5, 2021, Oct 17, 2020 (3 updates tracked since 2020).

About Dr. Mary L Cannon M.d. NPPES

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

DR. MARY L CANNON M.D. (NPI 1679532592) is an individual diagnostic radiology provider in Morgantown, West Virginia, licensed in West Virginia (20506) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1679532592
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARY L CANNONCredential: M.D.
Location Address101 STADIUM DRMorgantown, WV 26506-7911
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 598-4000
Fax(304) 293-6963
Sole ProprietorYes
Enumeration DateMarch 20, 2006
Last NPPES UpdateFebruary 8, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1679532592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WV · 20506
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
101 STADIUM DR, Morgantown, WV 26506
Open in Google Maps ↗

Other Identifiers 1

Medicaid1807576000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

DR. SARAH HELEN SOFKA MD
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 293-7401
DR. FATIMA ASAD MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MOHAMMED M ALNAMNAKANI M.D
Student in an Organized Health Care Education/Training Program
101 STADIUM DR, ROBERT C. BYRD HEALTH SCIENCES CENTER
MORGANTOWN, WV 26506
Monongalia County (304) 293-1621
PATRICK S TROUTEN MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MARIA ANN LONG M.D.
Emergency Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 293-2436
KATHERINE LOUISE BERGMAN
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
WALTER J KIELKOWSKI CRNA
Nurse Anesthetist, Certified Registered
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ASHLEY NICOLE EBY
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850

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 Mary Cannon's NPI number?

The NPI number for Mary Cannon is 1679532592. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Mary Cannon located?

Mary Cannon practices at 101 Stadium Dr, Morgantown, WV 26506. The listed phone number is (304) 598-4000.

What is Mary Cannon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Mary Cannon accept?

Health plans from CareSource list Mary Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Cannon was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.