NANCY ELLEN GANNON (NPI# 1689191934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689191934 |
| Entity Type | Individual |
| Full Name | NANCY ELLEN GANNON |
| Credential | PA-C |
| Practice Address |
9301 N Central Expy Ste 500 Dallas TX 75231-0805 |
| Practice Telephone | 2142202468 |
| Practice Fax Number | 2147201982 |
| Mailing Telephone | 2142202468 |
| Mailing Fax Number | 2147201982 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992729495 | Nancy C Gannon | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2006-07-27 |
| Street Address |
9301 N CENTRAL EXPY STE 500 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-0805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901356 | Marcia K Gamez | Clinical Nurse Specialist | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2005-06-13 |
| 1518574789 | Jonathan Todd Youngblood | Physical Medicine & Rehabilitation | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2020-09-30 |
| 1417413212 | Lauren Massey | Physician Assistant | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2019-02-16 |
| 1184198103 | Zachariah A Tiner | Physician Assistant | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2019-01-12 |
| 1003312828 | Mallory Michelle Taylor | Physician Assistant | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2018-04-02 |
| 1164890760 | Tara Eckel | Physician Assistant | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2015-09-13 |
| 1548535677 | Jason Scott Klein | Orthopaedic Surgery | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2012-03-22 |
| 1184949505 | Brian P Gladnick | Orthopaedic Surgery | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2010-03-29 |
| 1760617526 | Mahmoud Michael Khair | Orthopaedic Surgery | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2009-05-22 |
| 1447408729 | Todd C. Moen | Orthopaedic Surgery | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2008-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| Find all providers in DALLAS | ||||
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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.