Herbert H Gannon Jr., MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

00006291 Issued in AL

Practice address

4300 West Main Street
Suite 31 Womens Healthcare of Dothan PC
Dothan, AL 36305-4300

Phone

(334) 793-6511

Fax

(334) 677-5642

NPI assigned

May 3, 2006

Last updated

Nov 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1356309942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WEST MAIN STREET",
            "address_2": "STE 31",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054300",
            "telephone_number": "334-793-6511",
            "fax_number": "334-677-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST MAIN STREET",
            "address_2": "SUITE 31 WOMENS HEALTHCARE OF DOTHAN PC",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054300",
            "telephone_number": "334-793-6511",
            "fax_number": "334-677-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "HERBERT",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "00006291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004270",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Akevia Galloway
• Pamela Galloway, RN, CLC, DOULA
• Patrick Brannon Galloway, DDS, MS
• Kylie Gamble
• Aubrey Dustin Gandy, D.O.
• Timothy Hugh Gannon, MD
• William Timothy Gannon, M.D.
• Michael W Garland, BS PHARM
• Tionna Garlington
• Robert Dale Garrett, CRNA

• Gynecology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.