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Provider Profile

Tim B. Gannon, P.A.

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At a glance

About Tim Gannon

Listed in the NPI registry as a physician assistant — medical, Tim B. Gannon, P.A. practices in Santa Fe, NM. NPI 1780992024 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2010

Specialty

Credentials & Licensing

NM licenceAs reported to the NPI registry
No. PA2010-0058As reported
NPINational Provider Identifier
1780992024Issued 2010

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Tim B. Gannon's specialty?

Tim B. Gannon is a physician assistant in Santa Fe, NM. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Medical”.

NPI registry

Where can I find Tim B. Gannon?

Tim B. Gannon is listed at 649 Harkle Rd Ste E, Santa Fe, NM 87505. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Tim B. Gannon?

The number on file is (505) 955-9454. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Tim B. Gannon's NPI number?

Tim B. Gannon's National Provider Identifier is 1780992024. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Tim B. Gannon's education?

Tim B. Gannon attended Other, graduating in 2010. This comes from the CMS National Downloadable File.

CMS public data

How long has Tim B. Gannon been practicing?

Tim B. Gannon has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.

CMS public data

Has Tim B. Gannon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Tim B. Gannon. If this is you, claiming it is free.

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