James Michael Gannon (NPI# 1851506604, PAC ID# 7416020664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1851506604 |
| PAC ID by PECOS | 7416020664 |
| Professional Enrollment ID | I20180919004309 |
| Full Name | James Michael Gannon |
| Organization Legal Name | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Address |
509 N Brightleaf Blvd Johnston Medical Center Smithfield Smithfield NC 27577-4407 |
| Phone Number | 9199347190 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 0446240683 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340090 | JOHNSTON HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 | 9199347190 | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Organization Legal Name | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Joseph Clark | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Cary Frederick Bizzell | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Jared M Criddle | Interventional Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| Jeffrey Emerson Jones | Interventional Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Jonathan L Lozevski | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| Street Address |
509 N BRIGHTLEAF BLVD JOHNSTON MEDICAL CENTER SMITHFIELD |
| City | SMITHFIELD |
| State | NC |
| Zip | 27577-4407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merwin Severtson | Emergency Medicine | Franklin Regional Emergency Physicians Pllc | 509 N Brightleaf Blvd, Emergency Room, Smithfield, NC 27577-4407 |
| Rollin Desauguste | Internal Medicine | Rex Hospital Inc | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Jacqueline B Stevens | Certified Registered Nurse Anesthetist (crna) | Johnston Health Services Corporation | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Shannon I Fulmer | Certified Registered Nurse Anesthetist (crna) | Johnston Health Services Corporation | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Pamela F Blakely | Family Medicine | Rex Hospital Inc | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Kyle J Pusey | Physician Assistant | Rex Hospital Inc | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Allison R Machado | Certified Registered Nurse Anesthetist (crna) | Johnston Health Services Corporation | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Jared M Criddle | Interventional Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| Melody C Secrest | Certified Registered Nurse Anesthetist (crna) | Johnston Health Services Corporation | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Brittany N Danielson | Nurse Practitioner | Unc Physicians Network LLC | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Alan Trottman | General Surgery | Rex Hospital Inc | 131 E Market St, Smithfield, NC 27577-3915 |
| Marie L Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | |
| Franklin C Wefald | Cardiovascular Disease (cardiology) | 101 E Market St, Smithfield, NC 27577-3915 | |
| Brandon Keith Woodard | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Efrain Perez | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Jodi L Tholen Bailey | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Manmohan Singh | General Surgery | 713 N St, Smithfield, NC 27577-4019 | |
| Christopher Page Jordan | Gastroenterology | 415 C N 7th St, Smithfield, NC 27577-4043 | |
| Thomas Blackburn Iv | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Daniel Patrick O'dowd | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Find all physicians in zip 27577 | |||
| City | SMITHFIELD |
| Zip Code | 27577 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SMITHFIELD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on James Michael 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.