DR. RICHARD P GANNAWAY (NPI# 1952307415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952307415 |
| Entity Type | Individual |
| Full Name | DR. RICHARD P GANNAWAY |
| Credential | M.D. |
| Practice Address |
141 Chesapeake Lane # 300 Clarksville TN 37040 |
| Practice Telephone | 9315526830 |
| Practice Fax Number | 9315522847 |
| Mailing Telephone | 9315526830 |
| Mailing Fax Number | 9315522847 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000019272 | TN | Other Service Providers |
| Street Address |
141 CHESAPEAKE LANE # 300 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740761949 | Anita Camille Henderson | Specialist | 718 Valencia Dr, Clarksville, TN 37043-2058 | 2018-08-24 |
| 1871006924 | Jama'l Oliver | Specialist | 2038 Tynewood Dr, Clarksville, TN 37042-5285 | 2017-11-12 |
| 1982944229 | Ronald Howard Farkas | Specialist | 12040 Misty Rise Ct, Clarksville, MD 21029-1256 | 2013-02-24 |
| 1053519421 | Tommy R. Tigar, M.d., Inc. | Specialist | 341 E. Main Street, Clarksville, OH 45113 | 2007-07-06 |
| 1740483767 | Timothy K Duffin Md Plc | Specialist | 800 Weatherly Drive, 100-l, Clarksville, TN 37043-4521 | 2007-06-07 |
| 1629195557 | Mary Dueker | Specialist | 2149 Allendale Dr, Clarksville, TN 37043-4431 | 2007-03-24 |
| 1326192683 | Lorna Lewis Faulk | Specialist | 225 E Meadow Cir, Clarksville, TN 37043-5039 | 2007-01-23 |
| 1063571917 | Frances W Schoonover | Specialist | 6412 Western Star Run, Clarksville, MD 21029-1247 | 2006-12-06 |
| 1548328776 | W, Stanford Blalock, Md, Plc | Specialist | 279 Clear Sky Ct Unit 3, Clarksville, TN 37043-5653 | 2006-12-04 |
| 1821163056 | Neurology and Neuromuscular Center Plc | Specialist | 219 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8844 | 2006-11-22 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on DR. RICHARD P GANNAWAY.
| 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.