TIMOTHY L. CANNON M.D. – NPI #1376719906
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

TIMOTHY CANNON is a physician located in FAIRFAX, VA. NPPES has assigned the NPI number 1376719906 to TIMOTHY CANNON on May 04, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 5 years ago on Sep 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY CANNON below.

NPI Profile for
TIMOTHY L. CANNON

NPI Number
1376719906
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY L. CANNON
Credentials
M.D.
Primary location
8081 INNOVATION PARK DR
FAIRFAX, VA 22031-4867
Phone: (571) 472-4724 Fax: (571) 472-0241
3 Other location(s):
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
4501 Empire Ct
Fredericksburg, VA 22408-1949
Phone: (540) 371-0079 Ext: 220
Fax: (540) 656-2653
44055 Riverside Pkwy # 108
Leesburg, VA 20176-5179
Phone: (703) 858-8600
Fax: (703) 858-8603
Mailing address
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone: (571) 423-5699 Fax: (571) 423-5698
Sole Proprietor
No
Updated
Certification Date
Sep 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TIMOTHY CANNON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANVAVV8084A
MEDICAIDVA1376719906
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)		 VA 0101249711
207RH0003X
- Internal Medicine / Hematology & Oncology		 VA 0101249711
207RH0000X
- Internal Medicine / Hematology		 VA 0101249711
207R00000X
- Internal Medicine		 VA 0101249711

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
HEALTH INFORMATION EXCHANGE
Content Type
OTHER
Affiliation
Y
Endpoint Location
8081 INNOVATION PARK DR,
FAIRFAX, VA 77025-1669

Additional Information

Education
RUTGERS NEW JERSEY MEDICAL SCHOOL - Graduated 2005
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TIMOTHY CANNON is affiliated with the following medical group(s):
  • HOSPITAL
    • INOVA ALEXANDRIA HOSPITAL
      4320 SEMINARY RD
      ALEXANDRIA, VA 22304
    • INOVA FAIR OAKS HOSPITAL
      3600 JOSEPH SIEWICK DRIVE
      FAIRFAX, VA 22033
    • INOVA FAIRFAX HOSPITAL
      3300 GALLOWS ROAD
      FALLS CHURCH, VA 22042
    • INOVA LOUDOUN HOSPITAL
      44045 RIVERSIDE PARKWAY
      LEESBURG, VA 20176
    • INOVA MOUNT VERNON HOSPITAL
      2501 PARKERS LANE
      ALEXANDRIA, VA 22306
  • HOME HEALTH AGENCY
    • INOVA HOME HEALTH LLC
      9900 MAIN STREET - SUITE 100
      FAIRFAX, VA 22031
  • HOSPICE
    • CAPITAL HOSPICE
      2900 TELESTAR COURT
      FALLS CHURCH, VA 22042

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