MR. STEPHEN MICHAEL GANNON


Address: 94 Basswood Ave, Saugus, MA 01906-3858
Phone: 6175295511

MR. STEPHEN MICHAEL GANNON (NPI# 1538462312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538462312
Entity Type Individual
Full Name MR. STEPHEN MICHAEL GANNON
Practice Address 94 Basswood Ave
Saugus
MA 01906-3858
Practice Telephone 6175295511
Mailing Telephone 6175295511
Enumeration Date 2010-12-16
Last Update Date 2010-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Providers STEPHEN GANNON

NPI Name Taxonomy Address Enumeration
1881960037 Stephen Andrew Gannon Internal Medicine 75 Francis St, Boston, MA 02115 2012-03-31

Office Location

Street Address 94 BASSWOOD AVE
City SAUGUS
State MA
Zip Code 01906-3858

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1548630817 Marie Decarney Counselor 7 Juliette Rd, Saugus, MA 01906 2015-09-30
1265802615 Anh Duong General Acute Care Hospital 10 Bow Street Ext, Saugus, MA 01906 2015-09-29
1760753107 Melissa Jean Tilton Occupational Therapy Assistant 28 Elaine Ave, Saugus, MA 01906 2012-01-17
1235320698 Dr. Domenic A. D'angelo and Associates Optometrist 171 Broadway Rte 1 S, Saugus, MA 01906 2007-08-09
1851422901 Stephen G. Petinge Dentist 15 Essex Street, Saugus, MA 01906 2007-03-08
1053466235 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 159 Square One Mall, Saugus, MA 01906 2007-01-25
1518060771 For Eyes Optical, Inc. of Pennsylvania Eyewear Supplier (Equipment, not the service) 600 Broadway Ste C, Saugus, MA 01906 2006-09-06
1528078284 North Suburban Dialysis Center Partnership Clinic/Center 124 Broadway Route 1 North, Augustine's Plaza, Saugus, MA 01906 2006-08-08
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174130496 Back To Home Healthcare Services, LLC Case Management 19 Brookwood Rd, Attleboro, MA 02703-4303 2020-09-30
1639785462 Hair Loss Center of Boston LLC Case Management 123 Ashland St # 2, Melrose, MA 02176-1235 2020-09-17
1124631692 Elemental Intuition LLC Case Management 131 W Main St Ste 340, Orange, MA 01364-1164 2020-08-25
1558972125 Elemental Intuition LLC Case Management 585 E River St, Orange, MA 01364-1811 2020-08-16
1467091033 Right Choice Health Group LLC Case Management 125 Liberty St Ste 205, Springfield, MA 01103-1109 2019-12-31
1770136418 Caregiver Homes of North Carolina Inc Case Management 120 St. James Ave., Seniorlink, Boston, MA 02116-3740 2019-07-22
1932761186 Caregiver Homes of Georgia Inc Case Management 120 St. James Ave, Seniorlink, Boston, MA 02116-3740 2019-07-08
1770041261 Jeanne Takahashi Case Management 16 Spooner St, Plymouth, MA 02360-4451 2019-03-04
1861958787 Alliance Adult Family Care LLC Case Management 41 Camden Ave, Brockton, MA 02301-5014 2019-02-15
1649741125 Boston Senior Home Care Case Management 89 South St Ste 501, Boston, MA 02111-2748 2018-12-10
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Competitor

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City SAUGUS
Zip Code 01906

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Dataset Information

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.

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