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

Dr. Paul B Cannon, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1740285022

Dr. Paul B Cannon, DPM is a Podiatry in Falls Church, Virginia. Graduated from William M. Scholl College of Podiatric Medicine in 2002, 24 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Illinois, Maryland and Virginia.

Years since qualifying
24
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
DC, IL, MD, VA
In the registry since
2005
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

104A E Broad St
Falls Church, VA 22046-4501
Phone: (703) 237-1555
Fax: (703) 237-2253
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103300931 (VA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 01424 (MD)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO1000043 (DC)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X (IL)

Record details

NPI number1740285022
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 14, 2005
Last updated in NPPESDecember 7, 2007

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2002 (24 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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