ELIZABETH GANNON (NPI# 1629397252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629397252 |
| Entity Type | Individual |
| Full Name | ELIZABETH GANNON |
| Credential | SLP |
| Practice Address |
915 10th Ave Nw Ardmore OK 73401-4025 |
| Mailing Address |
1405 4th Ave Nw # 296 Ardmore OK 73401-2708 |
| Practice Telephone | 5802265566 |
| Practice Fax Number | 5802265567 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3298 | OK | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790926822 | Elizabeth Anne Gannon | Occupational Therapist | 204 Martin Rd, Lagrangeville, NY 12540-6348 | 2009-03-19 |
| 1942832076 | Elizabeth Gannon | Occupational Therapist | 567 N and South Rd Apt C, Saint Louis, MO 63130-3939 | 2020-02-06 |
| 1912268269 | Elizabeth Joyce Gannon | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2012-06-04 |
| 1205025905 | Elizabeth Claire Gannon | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2007-10-18 |
| 1245433572 | Elizabeth Honore Gannon | Family Medicine | 1627 I St Nw Ste 800, Washington, DC 20006-4088 | 2007-06-06 |
| Street Address |
915 10TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366406217 | Bolaji S. Sofola | Urology | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2006-04-15 |
| 1790030492 | Stacey R Ogden | Specialist/Technologist | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2012-07-18 |
| 1245501105 | Aaron Spells | Physician Assistant | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2012-01-24 |
| 1265760508 | Sneha Pranjal Desai | Obstetrics & Gynecology | 915 10th Ave Nw, Ardmore, OK 73401 | 2009-11-25 |
| 1215192265 | Spine Transformation LLC | Orthopaedic Surgery | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2008-07-18 |
| 1164543203 | Dereck A. Peery | Orthopaedic Surgery | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2007-04-03 |
| 1881609568 | Urology Center of Southern Oklahoma,pc | Urology | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2006-07-30 |
| 1639133580 | Hayden D. Henry | Urology | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2006-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477037216 | Kaleigh Gary | Speech-Language Pathologist | 333 Carter St Se, Ardmore, OK 73401-8235 | 2018-09-18 |
| 1417479254 | Remi Schmidt | Speech-Language Pathologist | 622 Malvern Rd, Ardmore, PA 19003-1819 | 2017-07-13 |
| 1639612435 | Starla Diane Newby | Speech-Language Pathologist | 615 Stanley St Sw, Ardmore, OK 73401-4717 | 2016-11-28 |
| 1639629223 | Speech Pathology Services, Pllc | Speech-Language Pathologist | 1000 Rockford Ct, Ardmore, OK 73401-3408 | 2016-10-07 |
| 1619264587 | Christy Michelle Hale | Speech-Language Pathologist | 1615 Red Cedar Rd, Ardmore, OK 73401-0452 | 2011-06-29 |
| 1568761187 | Amy Melissa Van Dine | Speech-Language Pathologist | 635 Georges Ln, Ardmore, PA 19003-1905 | 2011-03-22 |
| 1770769283 | Brad Allan Wells | Speech-Language Pathologist | 1012 Bixby St, Ardmore, OK 73401-4612 | 2008-01-14 |
| 1073722245 | Stacy Dawn Nease | Speech-Language Pathologist | 3200 Woodside Dr, Ardmore, OK 73401-9135 | 2007-05-22 |
| 1245848050 | Rebecca Lucas | Speech-Language Pathologist | 1107 W Broadway St, Ardmore, OK 73401-2833 | 2020-07-17 |
| 1447873724 | Corina T Hernandez | Speech-Language Pathologist | 1301 Kiowa St, Ardmore, OK 73401-2280 | 2020-05-21 |
| Find all providers in ARDMORE | ||||
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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.