Doctor profile · Federal record
Dr. Ellen Cannon
Physician Assistant · Surgical Physician Assistant · Philadelphia, PA
- NPI 1083169890
- Accepts Medicare
- 10 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3401 Civic Center Blvd
Philadelphia, PA 191044319
(610) 209-6383 - Additional location
-
160 E Erie Ave
Philadelphia, PA 191341011 - Mailing address
-
1610 Christian St Apt 2
Philadelphia, PA 191462066
Credentials & registration
- NPI registered
- August 2016 — 10 yrs on file
- Profile last updated
- January 26, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #MA058639
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083169890. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$90
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 1 | $90.09 |
By nature of payment
Frequently asked questions
What is Dr. Ellen Cannon's medical specialty?
Dr. Ellen Cannon practices Physician Assistant in Philadelphia, PA.
Where does Dr. Ellen Cannon practice?
Dr. Ellen Cannon practices at 3401 Civic Center Blvd, Philadelphia, PA 191044319. Office phone: 6102096383.
What is Dr. Ellen Cannon's NPI?
Dr. Ellen Cannon's National Provider Identifier (NPI) is 1083169890, issued by NPPES.
Does Dr. Ellen Cannon accept Medicare assignment?
Yes. Dr. Ellen Cannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.