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

Richard Cannon Jr.

Individual provider Certified Registered Nurse Anesthetist · NPI 1245637073

Richard Cannon Jr. is a Certified Registered Nurse Anesthetist (CRNA) in Monroe, Louisiana. Qualified in 2014, 12 years ago. Practices with Smso Anesthesia, LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2014
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Practice location Address checks out

309 Jackson St
Monroe, LA 71201-7407
Phone: (504) 779-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4864 Jackson St, Monroe, LA 71202-6400 — (318) 330-7000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP08107 (LA)

Record details

NPI number1245637073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2014
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Smso Anesthesia, Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Monroe