IndividualActive
Shannon Cannon, MD
NPI 1558604512 · Pediatric Urology Physician · Madison, WI
Provider details
- NPI number
- 1558604512
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ML60370885 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6420
Street-level locationGet directions
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Additional practice locations (2)
- 1959 Ne Pacific StSeattle, WA 98195-6410Phone: (206) 685-1982
- 4800 Sand Point Way NeM/S Oa.9.220Seattle, WA 98105-3901Phone: (206) 987-1160
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.