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

Shannon Cannon, MD

Individual provider Surgery Physician · NPI 1558604512

Shannon Cannon, MD is a Surgery Physician in Madison, Wisconsin. Works from 3 locations. Licensed in Washington and Wisconsin.

Licensed in
WA, WI
In the registry since
2013
Specialties on file
3
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

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4800 Sand Point Way Ne, Seattle, WA 98105-3901 — (206) 987-1160
  • 1959 Ne Pacific St, Seattle, WA 98195-6410 — (206) 685-1982

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 75781 (WI)
Surgery Physician Taxonomy 208600000X · Licence ML60370885 (WA)
Urology Physician Taxonomy 208800000X · Licence MD60943485 (WA)

Record details

NPI number1558604512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

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