Gannon J. Ward, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

00350 Issued in CT

Practice address

1039 East Main Street
Stamford, CT 06902-4108

Phone

(203) 327-2722

Fax

(203) 975-4539

NPI assigned

Jul 24, 2007

Last updated

Apr 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Planned Parenthood of Southern New England IncGroup PAC ID 3173436730, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood of Southern New England, Inc.

  • Ambulatory Family Planning Facility
  • New Haven, CT
  • NPI 1174633143
  Medicare reassignment Care Compare group NPD
• Planned Parenthood of CT, Inc

  • Non-Surgical Family Planning Clinic/Center
  • Danbury, CT
  • NPI 1720117005
  NPD (past)
• Planned Parenthood of CT, Inc

  • Ambulatory Family Planning Facility
  • Stamford, CT
  • NPI 1942338017
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1356541643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WHITNEY AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112348",
            "telephone_number": "203-752-2856",
            "fax_number": "203-752-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 EAST MAIN STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024108",
            "telephone_number": "203-327-2722",
            "fax_number": "203-975-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GANNON",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "193956",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "00350",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MW0171",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• XI Wang, PHARMD
• Yu Wang, MD
• Zhaohui Wang, MD
• Kurt Waples, D.C.
• Bridget M Ward, PA-C
• Abdirahman Wardhere, MD
• Bernard G Warmflash, D.D.S.
• Valerie Warmflash, PH.D.
• Stephanie Warren, D.C
• Miranda Warunek, PA-C

• Advanced Practice Midwife in Stamford, CT
• Providers in Stamford, CT by specialty
• Advanced Practice Midwife in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.