KATHRYN E GANNON-LOEW
NPI 1801154000
Pediatrics - Adolescent Medicine in Madison, WI

Q: What is Kathryn Gannon-loew's NPI number?

The NPI number for Kathryn Gannon-loew is 1801154000. It was assigned to this individual provider in the NPPES registry on April 25, 2012. The provider is also known as Kathryn Gannon.

Q: What is Kathryn Gannon-loew's specialty?

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

Active since April 25, 2012PECOS Enrolled

2880 UNIVERSITY AVE, MADISON, WI 53705(608) 263-6421(608) 263-6547 Get Directions Write a Review

NPPES record last updated: July 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2022, Jan 20, 2021, Jun 11, 2020 and 1 more (4 updates tracked since 2018).

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About Kathryn E Gannon-loew NPPES

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

KATHRYN E GANNON-LOEW (NPI 1801154000) is an individual adolescent medicine provider in Madison, Wisconsin, licensed in Wisconsin (61745-20) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1801154000

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameKATHRYN E GANNON-LOEW

Location Address2880 UNIVERSITY AVEMadison, WI 53705-3644

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485 · Fax (608) 263-6547

Phone(608) 263-6421

Fax(608) 263-6547

Sole ProprietorYes

Enumeration DateApril 25, 2012

Last NPPES UpdateJuly 3, 20224 updates tracked since enumeration

NPPES CertifiedJuly 3, 2022

✔ NPI 1801154000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in WI · 61745-20✔ Licensed in OH · 35.126176

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.

2880 UNIVERSITY AVE, Madison, WI 53705

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Other Names 1

Former Name (1)Kathryn Gannon

Secondary Practice Locations 4

Location 1700 Childrens Dr, Timken Hall TH3AColumbus, OH 43205-2664 · Phone (614) 722-2458

Location 23333 Burnet Avenue, ML 4000Cincinnati, OH 45229-3026 · Phone (513) 636-4681 · Fax (513) 636-7844

Location 3333 E Campus MallMadison, WI 53715-1365 · Phone (608) 265-5600 · Fax (608) 263-6884

Location 4540 N 16th StMilwaukee, WI 53233-2160 · Phone (414) 288-7184 · Fax (414) 288-1664

Other Identifiers 1

Medicaid0133627OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn E Gannon-loew 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.

ANTHONY J GARCIA-PRATS MD

Pediatrics