ROBERT GANNON (NPI# 1386018141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386018141 |
| Entity Type | Individual |
| Full Name | ROBERT GANNON |
| Practice Address |
1689 Sebring Hills Dr Henderson NV 89052-6930 |
| Mailing Address |
Po Box 778060 Henderson NV 89077-8060 |
| Practice Telephone | 7027039163 |
| Practice Fax Number | 7028977554 |
| Mailing Telephone | 7027039163 |
| Mailing Fax Number | 7028977554 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285051235 | Robert J. Gannon | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2014-03-27 |
| Street Address |
1689 SEBRING HILLS DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992135149 | Jennifer Coon | Specialist | 158 Coyote Hills St, Henderson, NV 89012-6003 | 2013-11-24 |
| 1528325990 | Gary Stephen Marrone | Specialist | 5 Quail Hollow Dr, Henderson, NV 89014-2144 | 2012-04-23 |
| 1194094870 | Jeffrey Allyn Gahr | Specialist | 391 Marlin Cove Rd, Henderson, NV 89012-4830 | 2011-12-23 |
| 1639308943 | Robert David Lieberman | Specialist | 866 Seven Hills Dr Ste 201, Henderson, NV 89052 | 2009-07-08 |
| 1811139041 | Warren Hankins Md,pc. | Specialist | 9053 S Pecos Rd Ste 3000, Henderson, NV 89074-7179 | 2009-04-02 |
| 1114176427 | Healthy Connections By Joanie | Specialist | 2 Commerce Center Dr, Suite A-10, Henderson, NV 89014-2334 | 2008-09-10 |
| 1760679161 | Joseph P Klein | Specialist | 623 Pinetop Lake St, Henderson, NV 89002-0922 | 2007-09-28 |
| 1043419229 | Billy J Greenville | Specialist | 709 S Main St, Henderson, TX 75654-3946 | 2007-07-17 |
| 1619194768 | Nutan K Parikh Md Ltd Apc | Specialist | 2904 W. Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052 | 2007-04-19 |
| 1033243381 | Shirley Vernell Ball | Specialist | 946 W Andrews Ave Ste F, Henderson, NC 27536-2500 | 2007-03-16 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.