DANIEL M GANNON (NPI# 1285616169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285616169 |
| Entity Type | Individual |
| Full Name | DANIEL M GANNON |
| Credential | M.D. |
| Practice Address |
1450 Ellis St Suite 201 Bozeman MT 59715-8812 |
| Practice Telephone | 4065870122 |
| Practice Fax Number | 4065875548 |
| Mailing Telephone | 4065870122 |
| Mailing Fax Number | 4065875548 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
6358 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 22139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467798496 | Daniel James Gannon | Pharmacist | 5019 Wilkinson Ave, Valley Village, CA 91607-3030 | 2012-12-19 |
| Street Address |
1450 ELLIS ST SUITE 201 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-8812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635904 | Robert B Blake | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-08-03 |
| 1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
| 1639422470 | Jamie Eileen Shafer | Physician Assistant | 1450 Ellis St, Bozeman, MT 59715-8812 | 2012-10-17 |
| 1326208547 | Jennifer Jo Smith | Physical Therapist | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-06-11 |
| 1063683209 | Joshua William Bendz Klatt | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-03-16 |
| 1811182769 | Marcie Renee Lovgren | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-09-12 |
| 1578769824 | Michael Shay Ferrell | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-06-25 |
| 1932324860 | Martin K Gelbke | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-04-16 |
| 1972534816 | Karen E. Claes | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-06 |
| 1588693741 | Richard N Vinglas | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932324860 | Martin K Gelbke | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455748 | Michael Thompson Groover | Orthopaedic Surgery | 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 | 2013-06-04 |
| 1457396186 | Dean C Sukin | Orthopaedic Surgery | 2900 12th Ave N, #100e, Billings, MT 59101-7506 | 2006-06-17 |
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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.