MR. RUSSELL D GANNON (NPI# 1376643882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376643882 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL D GANNON |
| Credential | MSPT |
| Practice Address |
616 Gadsden Hwy Suite A Birmingham AL 35235-2501 |
| Mailing Address |
548 Twin Branch Dr Birmingham AL 35226-2342 |
| Practice Telephone | 2058330881 |
| Practice Fax Number | 2058331190 |
| Mailing Telephone | 2058234236 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTH3502 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
616 GADSDEN HWY SUITE A |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427256130 | Physiotherapy Associates Inc | Clinic/Center | 616 Gadsden Hwy, Suite A, Birmingham, AL 35235-2501 | 2007-07-03 |
| 1831280874 | Joseph Brian Duffin | Physical Therapy Assistant | 616 Gadsden Hwy, A, Birmingham, AL 35235-2501 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790082675 | Laura Elizabeth Richardson | Physical Therapist | 720 32nd St S, Birmingham, AL 35233-3516 | 2011-02-11 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1275753188 | Andrea Lenise Reliford | Physical Therapist | 5511 Highway 280 East, Suite 105, Birmingham, AL 35242-2833 | 2007-04-26 |
| 1992761597 | Emmett Loring Parker | Physical Therapist | 1808 Gadsden Hwy, Suite 136, Birmingham, AL 35235-3139 | 2006-04-22 |
| 1487251559 | Reagan Kaiser | Physical Therapist | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2020-10-02 |
| 1033657457 | Hilary M Young | Physical Therapist | 3125 Independence Dr Ste 300b, Birmingham, AL 35209-4168 | 2017-02-06 |
| 1558623199 | Samuel Edward Goff | Physical Therapist | 1808 Gadsden Hwy, Suite 138, Birmingham, AL 35235-3139 | 2012-06-11 |
| 1699076661 | Mairi Clements | Physical Therapist | 1808 Gadsden Hwy, Suite 136, Birmingham, AL 35235-3139 | 2010-11-08 |
| 1922339399 | Jonathan Fell Burke | Physical Therapist | 1808 Gadsden Hwy, Suite 136, Birmingham, AL 35235-3139 | 2010-01-24 |
| 1093759813 | Christy Owens Hensley | Physical Therapist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6402 | 2006-06-15 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
Please comment or provide details below to improve the information on MR. RUSSELL D GANNON.
| 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.