Angela Gannon (NPI# 1740481431, PAC ID# 3173686284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1740481431 |
| PAC ID by PECOS | 3173686284 |
| Professional Enrollment ID | I20181018001727 |
| Full Name | Angela Gannon |
| Organization Legal Name | SBH RALEIGH LLC |
| Address |
3200 Waterfield Dr Garner NC 27529-7727 |
| Phone Number | 9198004400 |
| Gender | F |
| Medical School | TOLEDO MEDICAL COLLEGE |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1153566070 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3200 Waterfield Dr, Garner, NC 27529-7727 | 9198004400 | SBH RALEIGH LLC |
| Organization Legal Name | SBH RALEIGH LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Shields | Nurse Practitioner | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Jennifer A Ingersoll | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Robert M Adams | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Paul M Retfalvi | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Haresh Md Tharwani | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Street Address |
3200 WATERFIELD DR |
| City | GARNER |
| State | NC |
| Zip | 27529-7727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Shields | Nurse Practitioner | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Jennifer A Ingersoll | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Robert M Adams | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Paul M Retfalvi | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Jeffrey A Pearson | Physician Assistant | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Sarah Renee Mojazza | Physician Assistant | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Karen Brown Jones | Nurse Practitioner | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Haresh Md Tharwani | Psychiatry | Sbh Raleigh LLC | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Vashonda Foust-brown | Nurse Practitioner | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlo R Watson | Clinical Social Worker | 5533 Hwy 42 W, Unit 4a 4, Garner, NC 27529 | |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| William J Jackson | Chiropractic | 260 Hwy 70w, Garner, NC 27529 | |
| Jodi Lynn Miller | Family Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Humayun M Kadir | Family Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Anomis D Dula | Audiologist | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Catherine S Glazer | Emergency Medicine | Wakemed Specialists Group, LLC | 811 Us 70 Hwy W, Garner, NC 27529-2541 |
| Patrick Wayne Donahue | Family Medicine | Wakemed Specialists Group, LLC | 811 Us 70 Hwy W, Garner, NC 27529-2541 |
| Hannah E Boghosian | Physician Assistant | Rex Hospital Inc | 1165 Us Hwy 70 W, Garner, NC 27529-2547 |
| Alexandra Kilraine Kaznowski | Physician Assistant | Rex Hospital Inc | 1165 Us Hwy 70 W, Garner, NC 27529-2547 |
| Find all physicians in zip 27529 | |||
| City | GARNER |
| Zip Code | 27529 |
| Specialty | PSYCHIATRY |
| City + Specialty | GARNER + PSYCHIATRY |
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| 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.