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DAVID L GANNON M.D.
NPI 1003886128
Family Medicine in Rock Island, IL

Active since January 23, 2006
2550 24TH ST, ROCK ISLAND, IL 61201(309) 793-4223(309) 793-6276 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David L Gannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID L GANNON M.D. (NPI 1003886128) is an individual family medicine provider in Rock Island, Illinois, licensed in Illinois (36-053280) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003886128
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID L GANNONCredential: M.D.
Location Address2550 24TH STRock Island, IL 61201-5304
Mailing Address2550 24th StRock Island, IL 61201-5304 · (309) 793-4223 · Fax (309) 793-6276
Phone(309) 793-4223
Fax(309) 793-6276
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 28, 2007
✔ NPI 1003886128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 36-053280
Definition
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.
2550 24TH ST, Rock Island, IL 61201
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Other Identifiers 4

Other98731IA · Blue Shield
Medicare UPINC43714IL
Medicare PINK45158IL
Medicare ID-Type Unspecified200246IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY JO BLOOMINGER PA
Physician Assistant
2550 24TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 793-4223
RIVER VALLEY FAMILY PRACTICE LTD
Family Medicine
2550 24TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 793-4223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Gannon's NPI number?

The NPI number for David Gannon is 1003886128. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is David Gannon located?

David Gannon practices at 2550 24th St, Rock Island, IL 61201. The listed phone number is (309) 793-4223.

What is David Gannon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Gannon was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.