Thomas M Gannon (NPI# 1548419310, PAC ID# 4789744871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1548419310 |
| PAC ID by PECOS | 4789744871 |
| Professional Enrollment ID | I20081119000444 |
| Full Name | Thomas M Gannon |
| Address |
4411 Wet Mill Creek Rd Celina TN 38551-5413 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4411 Wet Mill Creek Rd, Celina, TN 38551-5413 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
4411 WET MILL CREEK RD |
| City | CELINA |
| State | TN |
| Zip | 38551-5413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry W Horne | Family Medicine | 151 Mcarthur Ave, Celina, TN 38551-4003 | |
| Gilbert R Ghearing | Family Practice | 151 Mcarthur Ave, Celina, TN 38551-4003 | |
| Greda Cherry | Nurse Practitioner | Copeland Medical Services | 110 Doctors Dr, Celina, TN 38551-5092 |
| Joyce E Scott | General Practice | 1456 Proctor Creek Rd, Celina, TN 38551-6144 | |
| Jessie Lee Copeland | Internal Medicine | Copeland Medical Services | 110 Doctors Dr, Celina, TN 38551-9999 |
| Melissa C Ross | Nurse Practitioner | Copeland Medical Services | 110 Doctors Dr, Celina, TN 38551-9999 |
| City | CELINA |
| Zip Code | 38551 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | CELINA + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Thomas M 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.