MISS CATHERINE ELAINE GANNON (NPI# 1568013316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568013316 |
| Entity Type | Individual |
| Full Name | MISS CATHERINE ELAINE GANNON |
| Credential | FNP-C |
| Practice Address |
1630 Woodbrooke Dr Salisbury MD 21804-8501 |
| Practice Telephone | 4109126330 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001328 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R200736 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477897171 | Catherine Ann Gannon | Pharmacist | 4500 S Lancaster Rd Bldg 7r, Dallas, TX 75216-7167 | 2012-11-19 |
| 1144264722 | Catherine Mary Gannon | Pediatrics | 1504 Taub Loop, Houston, TX 77030-1608 | 2006-06-15 |
| Street Address |
1630 WOODBROOKE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417499 | Robert Mark Paschall | Psychiatry & Neurology | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2005-09-13 |
| 1487279337 | Tidalhealth Specialty Care, LLC | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
| 1306461256 | Tidalhealth Specialty Care, LLC | Psychiatry & Neurology | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
| 1396254314 | Michael David Cecil | Physician Assistant | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2017-09-21 |
| 1962742817 | Janet Marie Talley | Physician Assistant | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2013-02-28 |
| 1043320252 | Bothwell Graves Lee | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2006-08-30 |
| 1972576981 | Andy Hugo Pierre | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891347761 | Craig Mullen | Nurse Practitioner | 436 Rolling Rd, Salisbury, MD 21801-7115 | 2019-07-11 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1205496452 | Priscilla Afram Debrah | Nurse Practitioner | 106 Milford St Ste 503, Salisbury, MD 21804-6958 | 2019-06-19 |
| 1801375498 | Jennifer Hart | Nurse Practitioner | 1101 Camden Ave # Dh240, Salisbury, MD 21801-6860 | 2018-08-14 |
| 1073006862 | Jonathan Andrews | Nurse Practitioner | 1201 Pemberton Dr Ste 2a, Salisbury, MD 21801-2501 | 2018-06-07 |
| 1174050447 | Melody Jean Evans | Nurse Practitioner | 145 E Carroll St Ste 101102, Salisbury, MD 21801 | 2017-05-17 |
| 1710380621 | Traci Ann Church | Nurse Practitioner | 1325 Mount Hermon Rd Ste 9a, Salisbury, MD 21804 | 2014-10-06 |
| 1891124608 | Lauren Moore | Nurse Practitioner | 100 E Carroll St Ste 301&406, Salisbury, MD 21801-5422 | 2013-11-02 |
| 1033465166 | Patricia Maria Morales | Nurse Practitioner | 5584 King Stuart Dr, Salisbury, MD 21801-2358 | 2012-07-26 |
| 1871874198 | Affinity Services LLC | Nurse Practitioner | 6062 Bridle Ct, Salisbury, MD 21801-1715 | 2011-08-31 |
| Find all providers in SALISBURY | ||||
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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.