Dr. Timothy L Cannon, M.D.
Internal Medicine, Medical Oncology in Fairfax, VA. Individual provider (NPI-1).
Details
- NPI
- 1376719906
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy L Cannon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2008
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HEMATOLOGY/ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | 0101249711 | VA | Yes |
| 207R00000X | Internal Medicine | 0101249711 | VA | |
| 207RH0000X | Internal Medicine, Hematology | 0101249711 | VA | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 0101249711 | VA |
Practice location
8081 Innovation Park DrFairfax, VA 22031-4867
Phone 571-472-4724 · Fax 571-472-0241
Mailing address
Po Box 37174Baltimore, MD 21297-3174
Phone 571-423-5699 · Fax 571-423-5698
Other practice locations
Fredericksburg, VA 22408-1949
Phone 540-371-0079 · Fax 540-656-2653
Falls Church, VA 22042-3307
Phone 703-776-4001 · Fax 703-776-7113
Leesburg, VA 20176-5179
Phone 703-858-8600 · Fax 703-858-8603
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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