IndividualActive
Jeremy Cannon, M.D.
NPI 1952368136 · Surgical Critical Care Physician · Philadelphia, PA
Provider details
- NPI number
- 1952368136
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD454530 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
51 N 39th Street
Philadelphia, PA 19104-2640
Phone: (215) 349-8310
Fax: (215) 724-3560
Approximate (ZIP-level) locationGet directions
Mailing address
51 N 39th Street
Philadelphia, PA 19104-2640
Registry dates
- Enumerated
- 2006-04-29
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.