Active NPI
Emmett James Gannon, M.D.
- Orthopaedic Surgery Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 7448
- Practice address
- 200 Lothrop St
Pittsburgh, PA 15213-2536 - Phone
- (412) 605-3298
- Fax
- (412) 605-3269
- NPI assigned
- Jun 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 7448 | NE | Primary |
Addresses
Primary practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 605-3298
Other practice location 1
981080 Nebraska Medical Ctr
Omaha, NE 68198-1080
Phone (402) 559-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 552-7928
Hospital & facility affiliations
- The Nebraska Medical Center
- Bellevue Medical Center
- Memorial Community Hospital & Health System
- Nebraska Orthopaedic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 183 |
| Laminectomy or laminotomy (partial removal of spine bones) | 77 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33428 | NE | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Memorial Community Hospital Corporation | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| Memorial Community Hospital Corporation | Current | Accepting new patients | |
| Bellevue Medical Center LLC | Past | Accepting new patients |
Locations
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254
Interoperability endpoints
- egannon40696@direct.nebraskamed.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Critical Access Hospital
- Blair, NE
- NPI 1265408819
-
- Rehabilitation Clinic/Center
- Storm Lake, IA
- NPI 1033289749
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1720036601
-
- Clinic/Center
- Tekamah, NE
- NPI 1437281623
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
- Critical Access Hospital
- Blair, NE
- NPI 1265408819
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1952783532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-605-3298",
"fax_number": "412-605-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-605-3298",
"fax_number": "412-605-3269"
}
],
"practiceLocations": [
{
"address_1": "981080 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681981080",
"country_code": "US",
"telephone_number": "402-559-2258",
"fax_number": "402-559-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANNON",
"first_name": "EMMETT",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "7448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.