Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY WYNNE CANNON, M.D.
Active Sole ProprietorDR. JEREMY WYNNE CANNON, M.D. is a Trauma Surgery healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1952368136 is currently active in the NPPES registry. Verify at CMS.
Trauma Surgery · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1952368136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2006 (20.250723432141 yrs)
- Last Updated
- Dec 23, 2025
- Licenses
-
MD454530 (PA)MD454530 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51 N 39TH STREETSUITE 120 MOBPHILADELPHIA, PA, 19104Browse PA providers · Browse ZIP 19104
- Phone
- 2153498310
- Fax
- 2157243560
- Primary Specialty
-
Trauma Surgery
2086S0127X
- Additional Specialty
- Surgical Critical Care
Other Trauma Surgery Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ALEC C BEEKLEY | M.D. | 1104880970 |
| PATRICK M REILLY | MD | 1457388365 |
| DR. RONNIE S BENOIT | MD | 1366470288 |
| JOSE LUIS PASCUAL-LOPEZ | MD | 1306875810 |
| ALFRED R. BOGUCKI | M.D. | 1740219955 |
| BENJAMIN MARSH BRASLOW | MD | 1518997071 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.