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

Austin Wade Cannoy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407434822

Austin Wade Cannoy is an Emergency Medicine in Sayre, Pennsylvania. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with Summit Medical Group LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
5
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
WY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1 Guthrie Sq
Sayre, PA 18840-1625
Phone: (570) 888-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 16664A (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407434822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1 Guthrie Sq, Sayre, PA 18840-1625

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Summit Medical Group Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sayre