STEVEN GANNON (NPI# 1265877195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265877195 |
| Entity Type | Individual |
| Full Name | STEVEN GANNON |
| Credential | M.D. |
| Practice Address |
8330 Naab Rd Ste 340 Indianapolis IN 46260-2279 |
| Practice Telephone | 3173385100 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R1753 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
99099407A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
99099407A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 University Blvd, Round Rock, TX 786651032 | 5125090100 | 5122186330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974880 | Steven Douglas Gannon | Respiratory Therapist, Registered | 4951 Arroyo Road, Livermore, CA 94550 | 2006-09-20 |
| Street Address |
8330 NAAB RD STE 340 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666564 | Jon R Simala | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2005-08-10 |
| 1003392424 | Emily Kelly Koffel | Nurse Practitioner | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2018-07-18 |
| 1194216010 | Nicole Marie Mckinney | Nurse Practitioner | 8330 Naab Rd Ste 340, Indianapolis, IN 46260 | 2018-05-26 |
| 1962913392 | Elizabeth A Oates | Physician Assistant | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2017-10-12 |
| 1306379540 | Heather Lee Strickler | Nurse Practitioner | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2017-04-05 |
| 1649728338 | Claire Clouse | Nurse Practitioner | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2016-09-12 |
| 1891061875 | Ryan Joshua Schroeder | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2012-03-23 |
| 1013282201 | Emily Jane Cochard | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2012-03-20 |
| 1104125657 | Matthew Lee Mitchell | Emergency Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2011-03-23 |
| 1144548967 | Mark Anthony Mastrodicasa | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2010-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053744367 | Jagadeesh Yella | Internal Medicine | 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 | 2013-08-11 |
| 1629356332 | Sangeeth Rao Dubbireddi | Internal Medicine | 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 | 2011-07-29 |
| 1265490445 | Caitriona Buckley | Internal Medicine | 550 University Blvd # Uh4903, Indianapolis, IN 46202-5149 | 2006-05-04 |
| 1861457715 | Omar Rahman | Internal Medicine | 1801 N. Capitol Ave., Np E-140, Indianapolis, IN 46202-1218 | 2006-04-20 |
| 1326040122 | Robert A Strawbridge | Internal Medicine | 8424 Naab Rd Ste 1h, Indianapolis, IN 46260-1954 | 2005-08-11 |
| 1366443400 | James D Pike | Internal Medicine | 7911 Michigan Rd, Indianapolis, IN 46268-1915 | 2005-08-10 |
| 1588666564 | Jon R Simala | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2005-08-10 |
| 1801897236 | Lawrence J Bortenschlager | Internal Medicine | 1801 Senate Blvd, Suite 230, Indianapolis, IN 46202-1252 | 2005-08-09 |
| 1174527691 | Charles Brian Quick | Internal Medicine | 1400 N Ritter Ave, Suite 375b, Indianapolis, IN 46219-3052 | 2005-06-13 |
| 1225032725 | George Elias | Internal Medicine | 7120 Clearvista Dr, Ste 2100, Indianapolis, IN 46256-1621 | 2005-06-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.