Richard W. Gannon, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02001 Issued in IA

Practice address

800 S Fillmore St
Osceola, IA 50213-1619

Phone

(641) 342-2184

Fax

(800) 305-3233

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Skiff Hospital

  • General Acute Care Hospital
  • Newton, IA
  • NPI 1942290432
  NPD (past) Authorized official
• Clarke County Public Hospital

  dba Clarke County Clinic

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1851856132

  Emergency Medicine

  NPD (past)
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Osceola, IA
  • NPI 1740291087
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881749018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 F48 WEST",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "50208",
            "telephone_number": "641-792-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FILLMORE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131619",
            "telephone_number": "641-342-2184",
            "fax_number": "800-305-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "02001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epc Ia Aco LLC
• Michele Marie Evink, MS, PHARMD
• Family Eye Care of Osceola PC
• George N Fotiadis, MD
• Jami Dawn Fuller, D.C.
• Susan R Gilbert, ARNP
• Lauren Glenn, MA, LMHC
• Mark J Good Sr.
• Eric Gross, PT, DPT
• Evan Lucas Gyorko

• Emergency Medicine Physician in Osceola, IA
• Providers in Osceola, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.