Provider Profile

Tim B. Gannon, P.A.

Unclaimed Profile

About Tim Gannon

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Education & Training

School Other Graduated: 2010

Specialty

Physician Assistant — Medical (Primary)

Credentials & Licensing

NM licensePA2010-0058
NPI1780992024
NPI issued09/21/2010

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

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. Guide.md cannot book appointments or pass on messages — please call the office directly.

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.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.