Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Ron Cannon, MD

Individual provider Surgery Physician · NPI 1790179653

Austin Ron Cannon, MD is a General Surgery in Murray, Utah. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2010, 16 years ago. Practices with Gomez Kozar McElreath and Smith Professional Corporation, a 26-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 10086826-1205 (UT)

Record details

NPI number1790179653
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2015
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address7417 S Rich Way, Cottonwood Heights, UT 84121-4840

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Gomez Kozar McElreath And Smith Professional Corporation — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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