David Gannon Dpm Llc in Berlin - Foot & Ankle Surgery
David Gannon Dpm Llc - NPI 1861415200
David Gannon Dpm Llc is a Foot & Ankle Surgery in Berlin, Maryland. David Gannon Dpm Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for David Gannon Dpm Llc is 1861415200. The last update date is 2009-11-30.
David Gannon Dpm Llc's current location address is 9956 N Main St, Berlin, Maryland. You can contact this provider via phone number 4106290222 and fax number 4106290225. The mailing address for David Gannon Dpm Llc is 9956 N Main St, Berlin, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Gannon Dpm Llc |
|---|---|
| Address | 9956 N Main St, Berlin, Maryland |
| Phone Number | 4106290222 |
| Fax Number | 4106290225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Gannon David |
| Credentials | D.P.M. |
| Telephone Number | 4106290222 |
NPI Number Detail
| NPI Number | 1861415200 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2009-11-30 |
Provider Mailing Address Detail
| Address | 9956 N Main St |
|---|---|
| City | Berlin |
| State | Maryland (MD) |
| Post Code | 218111077 |
| Phone Number | 4106290222 |
| Fax Number | 4106290225 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 1311 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4150953-00 | MD | -- | |
| DN7994 | MD | RAIL ROAD MEDICARE GROUP PTAN | |
| 6031730001 | DME |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Gannon Dpm Llc by the Centers for Medicare & Medicaid Services?
The David Gannon Dpm Llc has been assigned the NPI (National Provider Identifier) 1861415200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where David Gannon Dpm Llc is geographically located?
The David Gannon Dpm Llc is physically situated at the following location: 9956 N Main St, Berlin, MD, 218111077.
What is the David Gannon Dpm Llc's specialty and taxonomy code?
The David Gannon Dpm Llc's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861415200 to David Gannon Dpm Llc?
The David Gannon Dpm Llc received its 1861415200 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details related to David Gannon Dpm Llc most recently updated or revised?
The information pertaining to David Gannon Dpm Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-30.