DR. BARBARA GANNON M.D.
NPI 1619085388
Pediatrics - Adolescent Medicine in Washingtonville, NY

Active since August 25, 2006PECOS Enrolled
10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992(845) 634-7900(845) 634-0632 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Barbara Gannon M.d. NPPES

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

DR. BARBARA GANNON M.D. (NPI 1619085388) is an individual adolescent medicine provider in Washingtonville, New York, licensed in New York (1783891) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619085388
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. BARBARA GANNONCredential: M.D.
Location Address10 WEATHERVANE DRWashingtonville, NY 10992-2242
Mailing Address10 Weathervane DrWashingtonville, NY 10992-2242 · (845) 634-7900 · Fax (845) 634-0632
Fax(845) 634-0632
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 23, 2013
NPI 1619085388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 1783891
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10 WEATHERVANE DR, Washingtonville, NY 10992

Other Identifiers 1

Medicaid01280166NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Barbara Gannon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pediatrics
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Early Intervention Provider Agency
10 WEATHERVANE DR, SUITE 201
WASHINGTONVILLE, NY 10992
Early Intervention Provider Agency
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Case Manager/Care Coordinator
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Pediatrics (Adolescent Medicine)
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Nurse Practitioner (Pediatrics)
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Pediatrics
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Pediatrics (Adolescent Medicine)
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992

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 Barbara Gannon's NPI number?

The NPI number for Barbara Gannon is 1619085388. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Barbara Gannon located?

Barbara Gannon practices at 10 Weathervane Dr, Washingtonville, NY 10992. The listed phone number is (845) 634-7900.

What is Barbara Gannon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Barbara Gannon enrolled in Medicare?

Yes. Barbara Gannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Barbara Gannon was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.