Michael Patrick Gannon (NPI# 1194086041, PAC ID# 7012245913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1194086041 |
| PAC ID by PECOS | 7012245913 |
| Professional Enrollment ID | I20190829002152 |
| Full Name | Michael Patrick Gannon |
| Organization Legal Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Address |
7600 Central Ave Philadelphia PA 19111-2442 |
| Phone Number | 2157223258 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2012 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0345588711 |
| Number of Group Practice Members | 724 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3509 N Broad St, Philadelphia, PA 19140-4105 | 2157072111 | TEMPLE FACULTY PRACTICE PLAN INC |
| 7600 Central Ave, Philadelphia, PA 19111-2442 | 2157223258 | TEMPLE FACULTY PRACTICE PLAN INC |
| Organization Legal Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Physicians | 711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Michael Gamez | Obstetrics/gynecology | Temple Faculty Practice Plan Inc | 515 Pennsylvania Ave, Fort Washington, PA 19034-3314 |
| Hiu Ying Joanna Choi | Family Medicine | Temple Faculty Practice Plan Inc | 1316 W Ontario St, Philadelphia, PA 19140-5220 |
| Evan Carabelli | Internal Medicine | Temple Faculty Practice Plan Inc | 3223 N Broad St, Philadelphia, PA 19140-5007 |
| Cecelia Elizabeth Schmalbach | Otolaryngology | Temple Faculty Practice Plan Inc | 1077 Rydal Rd, Meadowbrook, PA 19046-1712 |
| Brianna Elizabeth Reardon | Nurse Practitioner | Temple Faculty Practice Plan Inc | 7604 Central Ave, Philadelphia, PA 19111-2433 |
| Sarah Fenerty | Diagnostic Radiology | Temple Faculty Practice Plan Inc | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 |
| Ben Hur Mobo | Family Medicine | Temple Faculty Practice Plan Inc | 1700 N Broad St, Philadelphia, PA 19121-3429 |
| Elizabeth Diane Dauer | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Maria Escorcia De Leon | Internal Medicine | Temple Faculty Practice Plan Inc | 3401 N Broad St, Philadelphia, PA 19140-5103 |
| Matthew Simon | Emergency Medicine | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Street Address |
7600 CENTRAL AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19111-2442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Simon | Emergency Medicine | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Nana Yaw Afari-armah | Advanced Heart Failure and Transplant Cardiology | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Sarah Y Aleem | Internal Medicine | Temple Physicians Inc | 7600 Central Ave, Philadelphia, PA 19111-2499 |
| Abayomi Michael Ajala | Internal Medicine | Temple Physicians Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| William A Vandecker | Cardiovascular Disease (cardiology) | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Mary A Shatz | Nurse Practitioner | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Daniel Edmundowicz | Cardiovascular Disease (cardiology) | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| William C Vemula | Internal Medicine | Temple Physicians Inc | 7600 Central Ave, Philadelphia, PA 19111-2499 |
| Brian P. Oneill | Interventional Cardiology | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Val Rakita | Advanced Heart Failure and Transplant Cardiology | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda A Petti | Psychologist, Clinical | 535 Penny Ln, Philadelphia, PA 19111-1201 | |
| Brenda A Buzydlowski | Hospice/palliative Care | Hr Physician Services | 8580 Verree Rd, Philadelphia, PA 19111-1370 |
| Arelyne B Pacho | Physical Medicine and Rehabilitation | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | |
| Donna R Farrell | Family Practice | Montgomery County Medical Associates, Ltd. | 8014 Burholme Ave, Philadelphia, PA 19111-1801 |
| Catherine E Canty | Chiropractic | 8012 Pine Rd, Fl 1, Philadelphia, PA 19111-1809 | |
| Uriel Schechter | Optometry | 7834 Oxford Ave, Philadelphia, PA 19111-2219 | |
| Stacy W Lexow | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
| Mary T Greybush | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
| Phyllis M Briggs | Nurse Practitioner | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
| Bong-soo Kim | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
| Find all physicians in zip 19111 | |||
| City | PHILADELPHIA |
| Zip Code | 19111 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PHILADELPHIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.