Timothy Gannon in Colorado Springs - Psychiatry
Timothy Gannon - NPI 1508952847
Timothy Gannon is a Psychiatry in Colorado Springs, Colorado. Timothy Gannon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Timothy Gannon is 1508952847. The last update date is 2021-02-19.
Timothy Gannon's current location address is 9650 Fresh Air Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7195567804. The mailing address for Timothy Gannon is 9650 Fresh Air Dr, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Gannon |
|---|---|
| Address | 9650 Fresh Air Dr, Colorado Springs, Colorado |
| Phone Number | 7195567804 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508952847 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 9650 Fresh Air Dr |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809242088 |
| Phone Number | 7195567804 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 35082873 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 346010 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Gannon by the Centers for Medicare & Medicaid Services?
The Timothy Gannon has been assigned the NPI (National Provider Identifier) 1508952847. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy Gannon is physically located?
The Timothy Gannon is situated at the following address: 9650 Fresh Air Dr, Colorado Springs, CO 809242088.
On what date was the 1508952847 assigned to Timothy Gannon?
The Timothy Gannon was issued its 1508952847 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Timothy Gannon receive the assignment of its 1508952847 from the Centers for Medicare & Medicaid Services?
The Timothy Gannon was issued its 1508952847 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date was the information pertaining to Timothy Gannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy Gannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-19.