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

Jeffrey Cannon, MD

Individual provider Critical Care Medicine (Anesthesiology) Physician · NPI 1851851158

Jeffrey Cannon, MD is an Anesthesiology in Boston, Massachusetts. Graduated from West Virginia University School of Medicine in 2019, 7 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Ohio.

Years since qualifying
7
Trained at
West Virginia University School of Medicine
Licensed in
MA, OH
In the registry since
2019
Specialties on file
4
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

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2200
Show map & directions

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

Additional practice locations (1)

  • 41 Highland Ave, Winchester, MA 01890-1446 — (781) 756-2260

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1013919 (MA)
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X · Licence 1013919 (MA)
General Practice Physician Taxonomy 208D00000X · Licence 35.144843 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851851158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address194 Havre St Unit 301, East Boston, MA 02128-5002

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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