NPI age
20 years
Enumerated 2005-09-09
● Active
Type 1 · Individual
DR. Peter M Cannon, M.D.
Cannon is 1 of 6 urology providers in Idaho Falls and 1 of 78 in Idaho.
Primary specialty
Urology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-04-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 78 active urology providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
35% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
2001 S Woodruff Ave, Suite 4
Idaho Falls, ID 834046374
Mailing address
2001 S Woodruff Ave, Suite 4
Idaho Falls, ID 834046374
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002502000 |
Practice context
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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