Active NPIIndividual provider

Dr. David P Gannon Jr., MD

Anesthesiology in Carver, Massachusetts

NPI Number1518966472
Practice location
68 N Main St, Carver, MA 02330-1128
Fax
508-747-7256
Last updated
April 24, 2024

David P Gannon is an Anesthesiology based in Carver, MA. David P Gannon practices in Carver, MA and has the professional credentials of MD. The NPI Number for David P Gannon is 1518966472 and holds a License No. 50303 (MA). The current practice location address for David P Gannon is 68 N Main St, Carver, MA 02330-1128 and can be reached out via phone at 508-747-7246 and via fax at 508-747-7256.

Provider Profile Details

NPI Number
1518966472
Provider Name
David P Gannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
68 N Main St, Carver, MA 02330-1128
Phone Number
508-747-7246
Fax Number
508-747-7256
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2005
Last Update Date
April 24, 2024
Certification Date
April 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
68 N Main St
Carver, MA 02330-1128
City
Carver
Zip
02330-1128
Phone Number
508-747-7246
Fax Number
508-747-7256
Carver, MA 02330Get directions →

Provider Business Mailing Address Details

Address
68 N Main St Ste A125
Carver, MA 02330-1128
City
Carver
State
MA
Zip
02330-1128
Phone Number
508-747-7246

License Information

License Number (1)
50303
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
50303
License State (2)
MA
License Number (3)
50303
License State (3)
MA
Taxonomy (3)
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David P Gannon Jr., MD?

The NPI number of Dr. David P Gannon Jr., MD is 1518966472. It was assigned on July 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. David P Gannon Jr., MD?

Dr. David P Gannon Jr., MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in MA under license number 50303.

Where does Dr. David P Gannon Jr., MD practice?

The practice location is 68 N Main St, Carver, MA 02330-1128. The office can be reached at 508-747-7246 (phone) or 508-747-7256 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518966472 directly on the NPPES registry website.

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