DR. TIMOTHY GANNON (NPI# 1508952847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952847 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GANNON |
| Credential | MD |
| Practice Address |
340 S Broadway St Akron OH 44308-1529 |
| Mailing Address |
720 Wood Street Eureka CA 95501 |
| Practice Telephone | 3302533100 |
| Practice Fax Number | 3302535248 |
| Mailing Telephone | 7072682942 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35082873 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000346010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356676936 | Timothy E Gannon | Counselor | 86 Plantation St., Worcester, MA 01604 | 2009-10-15 |
| 1346705803 | Timothy Gannon | Physical Medicine & Rehabilitation | 380 Demott Ln, Somerset, NJ 08873-2762 | 2019-02-08 |
| 1073993630 | Timothy Gannon | Pharmacist | 4960 William Flynn Hwy, Allison Park, PA 15101-2354 | 2015-06-08 |
| 1952640567 | Timothy Gannon | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2013-02-04 |
| 1083676852 | Timothy Hugh Gannon | Specialist | 4300 W Main St, Suite 403, Dothan, AL 36305-1054 | 2006-04-05 |
| Street Address |
340 S BROADWAY ST |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797490 | Stacey Sue Kline | Pharmacist | 340 S Broadway St, Akron, OH 44308-1529 | 2005-11-19 |
| 1235736844 | Stephanie Kaye Walker | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-10-06 |
| 1700499829 | Kristen Shaughnessy | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-28 |
| 1720691942 | Adam Christopher Brown | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-27 |
| 1356953079 | Kiarra King | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-24 |
| 1245849520 | Cheyenne Phillips | Case Manager/Care Coordinator | 340 S Broadway St, Akron, OH 44308-1529 | 2020-07-23 |
| 1578188009 | Jade Branch | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-06-10 |
| 1295386043 | Rachael Dabkowski | Psychologist | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-24 |
| 1053961284 | Samsara Soto | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-19 |
| 1891342770 | Jusiah Prowell | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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 disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912470303 | Alleviant of Akron | Psychiatry & Neurology | 1000 S Cleveland Massillon Rd Ste 1, Akron, OH 44333-9204 | 2019-01-08 |
| 1881127728 | Michael Batholomew Mcfadden | Psychiatry & Neurology | 444 N Main St Ste 405, Akron, OH 44310-3110 | 2017-04-07 |
| 1053775874 | Erik Schepens | Psychiatry & Neurology | Summa Health System / Psychiatry Residency, 525 E. Market St., Akron, OH 44309 | 2016-04-07 |
| 1730376237 | Camille Stephenson | Psychiatry & Neurology | 444 N Main St Fl 4, Akron, OH 44310-3110 | 2007-09-27 |
| 1114004991 | Daniel Shaun Baer | Psychiatry & Neurology | 388 S Main St # 207, Akron Children's Hospital, Akron, OH 44311-1064 | 2006-11-01 |
| 1184710394 | Summit Behavioral Health Group, Inc. | Psychiatry & Neurology | 585 White Pond Dr Ste E, Akron, OH 44320-1115 | 2006-10-05 |
| 1174621221 | Manzoor E Elahi | Psychiatry & Neurology | 150 Cross Street, Community Support Services Inc, Akron, OH 44311 | 2006-09-20 |
| 1831293398 | Victoria Y Delong | Psychiatry & Neurology | 312 Locust St, Akron, OH 44302-1878 | 2006-09-12 |
| 1871604215 | Clifford C Perera Md Inc | Psychiatry & Neurology | 555 Hampshire Rd, Akron, OH 44313 | 2006-08-31 |
| 1346350550 | Mark Richard Munetz | Psychiatry & Neurology | 100 W Cedar St, Suite 300, Akron, OH 44307-2569 | 2006-08-30 |
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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.