DR. DAVID P GANNON JR. (NPI# 1518966472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518966472 |
| Entity Type | Individual |
| Full Name | DR. DAVID P GANNON JR. |
| Credential | MD |
| Practice Address |
68 N Main St Carver MA 02330-1128 |
| Mailing Address |
68 N Main St Ste A125 Carver MA 02330-1128 |
| Practice Telephone | 5087477246 |
| Practice Fax Number | 5087477256 |
| Mailing Telephone | 5087477246 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 50303 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 50303 | MA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
50303 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM HEALTH CARE | AA124352 | 01 |
| MA | 3001091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548270952 | David John Gannon | Psychologist | 4572 Dressler Rd Nw, Canton, OH 44718-2546 | 2006-08-08 |
| 1376521492 | David Gannon | Podiatrist | 9956 N Main St, Suite #5, Berlin, MD 21811-1077 | 2006-01-09 |
| 1982707204 | David Edward Gannon | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-09-06 |
| 1003886128 | David L Gannon | Family Medicine | 2550 24th St, Rock Island, IL 61201-5304 | 2006-01-23 |
| 1477534816 | David W Gannon | Family Medicine | 1455 W Chandler Blvd, Chandler, AZ 85224-6197 | 2005-11-11 |
| Street Address |
68 N MAIN ST |
| City | CARVER |
| State | MA |
| Zip Code | 02330-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659509164 | East Pond Enterprises Inc | Clinic/Center | 68 N Main St, Carver, MA 02330 | 2009-06-24 |
| 1073566410 | Cape Cod Pain Management, PC | Anesthesiology | 68 N Main St, Carver, MA 02330 | 2006-05-18 |
| 1447203500 | Jordan Hospital Anesthesia Associates, PC | Pain Medicine | 68 N Main St, Carver, MA 02330-1128 | 2006-05-18 |
| 1003893900 | Frederick Vincent Johnson | Psychologist | 68 N Main St, Carver, MA 02330-1128 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261401 | Samantha L Faherty | Social Worker | 16 Harvest View Way, Carver, MA 02330 | 2007-06-07 |
| 1518009075 | Arnold Stuart Winn | Chiropractor | 96 N Main Street, Carver, MA 02330 | 2007-02-13 |
| 1558384818 | Leonid Y Spivak | Dentist | 1a Fuller Street, Carver, MA 02330 | 2006-07-26 |
| 1659450039 | Irwin A Lakin | Dentist | 9 North Main St, Carver, MA 02330 | 2006-11-04 |
| 1952689069 | Piecing The Puzzle | Community/Behavioral Health | 1 Hardhill Rd, Carver, MA 02330-1003 | 2011-07-25 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1962576207 | John C. Breen | Specialist | 160 N Main St, Carver, MA 02330-1027 | 2006-11-20 |
| 1427657840 | Emily Soeder | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2020-10-19 |
| 1033342977 | Lauren Ruff | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2009-08-26 |
| 1073798765 | Back To Health Therapy | Chiropractor | 96 N Main St, Carver, MA 02330-1028 | 2008-01-01 |
| Find all providers in zip 02330 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073566410 | Cape Cod Pain Management, PC | Anesthesiology | 68 N Main St, Carver, MA 02330 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053803478 | Allen Wang | Anesthesiology | 25 Jan Karski Way Apt D510, Boston, MA 02125-2776 | 2018-06-01 |
| 1295223683 | Jonathan Erdman | Anesthesiology | 55 Fruit Street Grb444, Boston, MA 02114-5502 | 2018-05-01 |
| 1578078366 | Anesthesia Svcs of Middleton | Anesthesiology | 175 Lake St, Middleton, MA 01949-2023 | 2017-12-04 |
| 1619498524 | Jamie Aaron Belo | Anesthesiology | 736 Cambridge St St. Elizabeth's Medical Center, Brighton, MA 02135 | 2017-06-30 |
| 1427578038 | Claudia Santamaria | Anesthesiology | 330 Brookline Ave # Es217, Boston, MA 02215-5400 | 2017-06-23 |
| 1053846600 | Kumar Reddy Seelam Ritesh | Anesthesiology | 736 Cambridge St Unit B1, Brighton, MA 02135-2907 | 2017-04-20 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1639610843 | Nicholas Flores-conner | Anesthesiology | 750 Albany St # 2r, Boston, MA 02118-2520 | 2017-03-20 |
| 1871036020 | Medical Circle of America Pllc | Anesthesiology | 59 N Quinsigamond Ave, Shrewsbury, MA 01545-5143 | 2016-11-21 |
| 1609225127 | Janna Taylor | Anesthesiology | 330 Brookline Ave # Rabb239, Beth Israel Deaconess Medical Center, Boston, MA 02215-5400 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
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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.