MICHAEL PATRICK GANNON
NPI 1730982638
Student in an Organized Health Care Education/Training Program in Norfolk, VA
About Michael Patrick Gannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL PATRICK GANNON (NPI 1730982638) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Patrick Gannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
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 Michael Gannon's NPI number?
The NPI number for Michael Gannon is 1730982638. It was assigned to this individual provider in the NPPES registry on March 28, 2025.
Where is Michael Gannon located?
Michael Gannon practices at 825 Fairfax Avenue Suite 710, Norfolk, VA 23507. The listed phone number is (757) 446-5888.
What is Michael Gannon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Michael Gannon enrolled in Medicare?
Yes. Michael Gannon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Gannon was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Michael Patrick Gannon · NPI 1730982638
Student in an Organized Health Care Education/Training Program provider in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1730982638 (Entity type: Individual)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 825 FAIRFAX AVENUE, SUITE 710, Norfolk, VA 23507-1912
- **Phone:** (757) 446-5888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730982638) · Data from the CMS NPPES public registry.