Cape Cod Pain Management, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CAPE COD PAIN MANAGEMENT, PC

Practice address

68 N Main St
Carver, MA 02330

Phone

(508) 747-7246

Fax

(508) 747-7256

NPI assigned

May 18, 2006

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Gannon, MDNPI 1518966472

Title

President

Phone

(508) 747-7246

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Gannon Jr., MD

  • Anesthesiology Physician
  • Carver, MA
  • NPI 1518966472
  Medicare reassignment NPD Authorized official
• Rebecca M. Hall, NP

  • Adult Health Nurse Practitioner
  • Plymouth, MA
  • NPI 1750617312
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1073566410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N MAIN ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301128",
            "telephone_number": "508-747-7246",
            "fax_number": "508-747-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N MAIN ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "02330",
            "telephone_number": "508-747-7246",
            "fax_number": "508-747-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 N Main St",
            "address_purpose": "LOCATION",
            "city": "Carver",
            "state": "MA",
            "postal_code": "02330",
            "country_code": "US",
            "telephone_number": "508-747-7246",
            "fax_number": "508-747-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE COD PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-747-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785825",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Earl Bleak, D.D.S.
• Adrian Blindt, PT
• Ryan George Bousquet, PHARMD
• John C. Breen, M.S. , P.T.
• Melissa B Brennan
• Carver Dental PC
• Carver Family Eyecare
• Carver Smiles P.C.
• Joseph M Cassetta, RN
• Charlene Cramer, NP

• Interventional Pain Medicine Physician in Carver, MA
• Providers in Carver, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.