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

Dr. Michael J Cannon, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1033131495

Dr. Michael J Cannon, DO is an Obstetrics/Gynecology in Twin Falls, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2001, 25 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
25
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

801 Pole Line Rd W Ste 3880
Twin Falls, ID 83301-5811
Phone: (208) 814-8500
Fax: (208) 933-9635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence O-0398 (ID)

Record details

NPI number1033131495
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2001 (25 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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