Jake Tyler Cannon, DO
Internal Medicine Physician · Wynnewood, PA
Jake Tyler Cannon, DO is an internal medicine physician with a practice address in Wynnewood, Pennsylvania, and NPI 1447991690, issued on Apr 3, 2022. Check the license (Pennsylvania OS024884, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Jake Tyler Cannon
- Credential
- DO
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- OS024884 PA
Self-reported in NPPES; status is on the state search - Practice location
- 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096
- Phone
- (484) 476-2658
- Enumerated
- Apr 3, 2022
- Record last updated
- May 31, 2025
- Medicare enrollment
- Enrolled (PECOS I20250606002183); accepts Medicare assignment
- Medical or professional school
- Rowan University School Of Osteopathic Medicine, 2022
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,300 in Pennsylvania → Look up another NPI →
Also registered at 100 E Lancaster Ave Ste B11
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Alexandra Desousa, MDInternal Medicine Physician1952041402
- Claire Kemper, LPCProfessional Counselor1053912089
- Samuel Laiacona, MDInternal Medicine Physician1023696291
Verify Jake Tyler Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OS024884Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Main Line HealthcareWynewood, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jake Tyler Cannon among 7,300 internal medicine physician records in Pennsylvania
Jake Tyler Cannon, DO is one of 7,300 internal medicine physician records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 85% of them.
- NPI issued2022 · 85% of these records are older, 11% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2022 · median 2008 among the 4,208 with a school on file
- Record last updated2025 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
150 internal medicine physician records list a practice address in Wynnewood
They are 150 of the 1,246 NPPES records with a practice address in Wynnewood, and 7,300 internal medicine physician records in Pennsylvania.
All 7,300 in Pennsylvania → Every provider in Wynnewood → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- M Susan Burke, MDWynnewood, PA 190961083694442
- David Cohen, MDWynnewood, PA 190961215908645
- Donald Corey, MDWynnewood, PA 190961245201706
- Daniel Lazowick, DOWynnewood, PA 190961063483527
- William Miller, M.D.Wynnewood, PA 190961801850060
- James Morris, MDWynnewood, PA 190961912979923
- John Nansteel, MDWynnewood, PA 190961558333583
- Colleen O'Connor, MDWynnewood, PA 190961922087154
Common questions
What is Jake Tyler Cannon, DO's NPI number?
Jake Tyler Cannon, DO's National Provider Identifier (NPI) is 1447991690, issued on Apr 3, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Jake Tyler Cannon, DO located?
The NPPES record lists a practice address at 100 E Lancaster Ave Ste B11, Wynnewood, PA, 19096. Phone: (484) 476-2658. Providers update this record themselves, so call before visiting.
How can I verify Jake Tyler Cannon, DO's license?
NPPES lists Pennsylvania license number OS024884, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.