ANTHONY GANNON MD NPI 1134206634

NPI Information

  • NPI: 1134206634
  • Provider Name: ANTHONY GANNON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1300 W JEFFERSON ST
    SUITE C
    FRANKLIN, IN
    ZIP 46131
  • Phone: (317) 736-8474

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NPI Details

Anthony Gannon, MD is a family medicine in Franklin, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Anthony Gannon, MD NPI is 1134206634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 W JEFFERSON ST
SUITE C
FRANKLIN, IN
ZIP 46131-120
Phone: (317) 736-8474
Fax: (317) 736-6040

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01023878INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1151560KKKKMEDICARE PININDIANA
2B29382MEDICARE UPININDIANA
3100220010MEDICAIDINDIANA
4080158794MEDICARE PIN
5151720BMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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