DR. PATRICK J GANNON (NPI# 1578512406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578512406 |
| Entity Type | Individual |
| Full Name | DR. PATRICK J GANNON |
| Credential | MD |
| Practice Address |
6150 Oakland Ave Saint Louis MO 63139-3215 |
| Mailing Address |
531 Pebble Brook Ln Hmai Belleville IL 62221-7609 |
| Practice Telephone | 3147683090 |
| Practice Fax Number | 3147683031 |
| Mailing Telephone | 6187795508 |
| Mailing Fax Number | 6182068588 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33100 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264930 | Patrick Lawrence Gannon | Optometrist | 7205 Mills Civic Pkwy, West Des Moines, IA 50266-8140 | 2006-05-22 |
| 1093925968 | Patrick J. Gannon | Dentist | 7480 W College Dr, Suite 202, Palos Heights, IL 60463-1165 | 2007-05-22 |
| 1720187453 | Patrick Gerard Gannon | Emergency Medicine | 626 Bethany Rd, 3251 Commerce Drive, Dekalb, IL 60115-4939 | 2006-09-21 |
| 1790747426 | Patrick Russell Gannon | Orthopaedic Surgery | 1 E Clark Bass Blvd, Suite 210, Mcalester, OK 74501-4209 | 2006-04-06 |
| Street Address |
6150 OAKLAND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061403 | Herbert Norman Shapiro | Surgery | 6150 Oakland Ave, 2nd Floor, Wcc, Saint Louis, MO 63139-3215 | 2005-08-26 |
| 1295968873 | Forest Park Emergency Physicians LLC | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-08-28 |
| 1073748828 | Forest Park Critical Care LLC | Internal Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-05-22 |
| 1689818643 | Brenda Kay Eslinger | Emergency Medical Technician, Paramedic | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-04-21 |
| 1992962674 | Consultants In General Surgery, Inc. | Surgery | 6150 Oakland Ave, 2nd Floor Wcc, Saint Louis, MO 63139-3215 | 2008-05-20 |
| 1295853802 | Nicanor D Devera | Emergency Medicine | 6150 Oakland Ave, Co Marilyn Kornberger, Saint Louis, MO 63139-3215 | 2007-03-26 |
| 1346392420 | Forest Park Hospital Corpporation #1 | Rehabilitation Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-17 |
| 1144372780 | Forest Park Hospital Corporation #1 | Psychiatric Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-16 |
| 1003920836 | Jose I Alvarez | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-08-18 |
| 1962432914 | Forest Park Anesthesia, Inc | Anesthesiology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
| 1942644349 | Tianyuan Yin Cornell | Psychiatry & Neurology | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-04-29 |
| 1881943223 | Jessica Christine Oetting Rosenkvist | Psychiatry & Neurology | Washington University Department of Psychiatry, Campus Box 8134, Saint Louis, MO 63110-1010 | 2012-08-30 |
| 1902111388 | Daniel Murray | Psychiatry & Neurology | 4907 W Pine Blvd, Apt 318, Saint Louis, MO 63108 | 2010-08-10 |
| 1467767913 | Marie Walker | Psychiatry & Neurology | Wash U School of Medicine, 660 S Euclid Ave, Department of Psychiatry, Saint Louis, MO 63110 | 2010-08-09 |
| 1871804914 | Alexander E Graypel | Psychiatry & Neurology | 10004 Kennerly Rd Ste 362b, Saint Louis, MO 63128-2178 | 2010-06-23 |
| 1295051548 | Enquan Gao | Psychiatry & Neurology | 815 Renee Ln, Saint Louis, MO 63141-7642 | 2010-04-12 |
| 1124342894 | John Henry Sweet | Psychiatry & Neurology | 4930 Pershing Pl, Saint Louis, MO 63108-1202 | 2010-03-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
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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.