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

Dr. Robert David Cannon, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1104806702

Dr. Robert David Cannon, MD is an Interventional Pain Management in Fayetteville, Arkansas. Graduated from University of Arkansas College of Medicine in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
36
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
Specialties on file
2
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

1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250
Phone: (479) 582-2800
Fax: (479) 582-2922
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence C-8066 (AR)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence C8066 (AR)

Record details

NPI number1104806702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 19, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address1708 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5250

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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