Elizabeth Gannon (NPI# 1245433572, PAC ID# 6305938754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245433572 |
| PAC ID by PECOS | 6305938754 |
| Professional Enrollment ID | I20070815000586 |
| Full Name | Elizabeth Gannon |
| Organization Legal Name | ONE MEDICAL GROUP, P.C. |
| Address |
1001 G Nw St 200 One Medical Group Washington DC 20001-4545 |
| Phone Number | 2026600005 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163694290 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490107 | RESTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24430 Stone Springs Blvd, Suite 400, Dulles, VA 20166-2247 | 7037665040 | PRIVIA MEDICAL GROUP,LLC |
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 24440 Stone Springs Blvd, Suite 250, Sterling, VA 20166-2247 | 7038301950 | PRIVIA MEDICAL GROUP,LLC |
| 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 | 2026600005 | ONE MEDICAL GROUP, P.C. |
| 1627 I Nw St, 800 One Medical Group, Washington, DC 20006-4088 | 2026600015 | ONE MEDICAL GROUP, P.C. |
| Organization Legal Name | ONE MEDICAL GROUP, P.C. |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia Herst Perry | Internal Medicine | One Medical Group, P.C. | 1827 Adams Mill Rd Nw, Suite C, Washington, DC 20009-2399 |
| Laura P Saunders | Nurse Practitioner | One Medical Group, P.C. | 601 New Jersey Ave Nw, Washington, DC 20001-2018 |
| Michael L Glickman | Family Medicine | One Medical Group, P.C. | 1627 I Nw St, 800 One Medical Group, Washington, DC 20006-4088 |
| Lisa Olin | Internal Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Tammi Howard | Internal Medicine | One Medical Group, P.C. | 601 New Jersey Ave Nw, Washington, DC 20001-2018 |
| Crystal N Mann | Physician Assistant | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Christine Boyer | Physician Assistant | One Medical Group, P.C. | 601 New Jersey Ave Nw, Washington, DC 20001-2018 |
| Jillian E Noyes | Family Medicine | One Medical Group, P.C. | 601 New Jersey Ave Nw, Washington, DC 20001-2018 |
| Patricia Evans | Family Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Reja Khan | Physician Assistant | One Medical Group, P.C. | 601 New Jersey Ave Nw, Washington, DC 20001-2018 |
| Street Address |
1001 G NW ST 200 ONE MEDICAL GROUP |
| City | WASHINGTON |
| State | DC |
| Zip | 20001-4545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Olin | Internal Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Crystal N Mann | Physician Assistant | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Patricia Evans | Family Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Peter Y Kim | Family Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Christine Walk | Nurse Practitioner | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| James S Coulter | Family Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Alicia R Buchwalter | Internal Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Amanda Sultani | Physician Assistant | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Katherine Bennett Komis | Internal Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Deborah M Grorud | Family Medicine | One Medical Group, P.C. | 1001 G Nw St, 200 One Medical Group, Washington, DC 20001-4545 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Jacquelyn M Horton | Clinical Social Worker | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Cecillia Tsao | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Shiban L Raina | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Mir Javid | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Deborah V Suchman | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Anna Quast | Nurse Practitioner | Some Inc | 60 O Nwst, Washington, DC 20001-1259 |
| Arda Kasaci | Psychiatry | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Janelle Marie Mancuso | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Theresa M. Owens | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Find all physicians in zip 20001 | |||
| City | WASHINGTON |
| Zip Code | 20001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASHINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elizabeth Gannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.