Carol A Gannon (NPI# 1538330113, PAC ID# 2365450053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538330113 |
| PAC ID by PECOS | 2365450053 |
| Professional Enrollment ID | I20060322000180 |
| Full Name | Carol A Gannon |
| Organization Legal Name | FAMILY PHYSICIANS OF GREELEY LLP |
| Address |
6801 W 20th St Unit 101 Greeley CO 80634-9640 |
| Phone Number | 9703788000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143115691 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060001 | NORTH COLORADO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 | 9703788000 | FAMILY PHYSICIANS OF GREELEY LLP |
| Organization Legal Name | FAMILY PHYSICIANS OF GREELEY LLP |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy K Ruff | Family Medicine | Family Physicians of Greeley LLP | 257 Johnstown Ctr Dr, Johnstown, CO 80534-7846 |
| Anna C Puls | Physician Assistant | Family Physicians of Greeley LLP | 2520 W 16th St, Greeley, CO 80634-4902 |
| Joanna Humphrey Branum | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Stacey L Garber | Family Medicine | Family Physicians of Greeley LLP | 2420 W 16th St, Greeley, CO 80634-6004 |
| Douglas A Magnuson | Family Medicine | Family Physicians of Greeley LLP | 2520 W 16th St, Greeley, CO 80634-4902 |
| Caitlin Delaney Poelking | Physician Assistant | Family Physicians of Greeley LLP | 2520 W 16th St, Greeley, CO 80634-4902 |
| Chad Andrew Maurer | Family Medicine | Family Physicians of Greeley LLP | 2520 W 16th St, Greeley, CO 80634-4902 |
| Tamara S Clang | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Brian Kevin Elder | Physician Assistant | Family Physicians of Greeley LLP | 2520 W 16th St, Greeley, CO 80634-4902 |
| Daniel Roy Clang | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Street Address |
6801 W 20TH ST UNIT 101 |
| City | GREELEY |
| State | CO |
| Zip | 80634-9640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanna Humphrey Branum | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Tamara S Clang | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Deanna K Koncar | Physical Therapy | Point Sports Medicine and Rehabilitation Inc | 6801 W 20th St, Unit 203, Greeley, CO 80634-9640 |
| Daniel Roy Clang | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Maria E Gallo | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Michelle K Paczosa | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Ann Therese Colgan | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Robert Scott Haskins | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Charles Irving Zucker | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Matthew Leonard Martinez | Family Medicine | Family Physicians of Greeley LLP | 6801 W 20th St, Unit 101, Greeley, CO 80634-9640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynne M Donahue | Physical Therapy | Alliance Physical Therapy, P.C. | 2809 E Harmony Rd, Suite 145, Fort Colllins, CO 80634 |
| David Richard Solecki | Chiropractic | 3624 W 10th St, Greeley, CO 80634-1821 | |
| Laurence P Kerrigan | Clinical Psychologist | 1015 37th Ave Ct, Unit 102, Greeley, CO 80634-2500 | |
| Evelyn B Hu | Nurse Practitioner | Colorado Urgent Care Pllc | 1011 39th Ave A, Greeley, CO 80634-2504 |
| Marcia S Stauter | Optometry | 3545 W 12th St, Suite 101, Greeley, CO 80634-2545 | |
| Stephanie Maria Streufert | Family Medicine | Banner Health Physicians Colorado LLC | 5623 W 19th St, Greeley, CO 80634-2901 |
| Anna R Wilkins | Family Medicine | Poudre Valley Medical Group LLC | 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910 |
| Amy B Driscoll | Pediatric Medicine | Poudre Valley Medical Group LLC | 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910 |
| Jennifer Lynn Wenning | Nurse Practitioner | Poudre Valley Medical Group LLC | 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910 |
| Melissa Richardson | Physical Therapy | Poudre Valley Medical Group LLC | 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910 |
| Find all physicians in zip 80634 | |||
| City | GREELEY |
| Zip Code | 80634 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREELEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol A Gannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.