SHORE FOOT & ANKLE
NPI 1861415200
Podiatrist - Foot & Ankle Surgery in Berlin, MD

Q: What is David Gannon Dpm LLC's NPI number?

The NPI number for David Gannon Dpm LLC is 1861415200. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Shore Foot & Ankle.

Q: What is David Gannon Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since July 26, 2006

9956 N MAIN ST, SUITE #5, BERLIN, MD 21811(410) 629-0222(410) 629-0225 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shore Foot & Ankle NPPES

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

SHORE FOOT & ANKLE (NPI 1861415200) is a healthcare organization registered as a foot & ankle surgery in Berlin, Maryland and active in the NPI registry since July 2006. The organization lists David Gannon, Podiatrist/sole Owner, as its authorized official.

NPPES Registry Identity

NPI1861415200

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameDAVID GANNON DPM LLC

Location Address9956 N MAIN ST, SUITE #5Berlin, MD 21811-1077

Mailing Address9956 N Main St, Suite #5Berlin, MD 21811-1077 · (410) 629-0222 · Fax (410) 629-0225

Phone(410) 629-0222

Fax(410) 629-0225

Organization SubpartNo

Authorized OfficialDavid GannonPodiatrist/sole Owner · (410) 629-0222

Enumeration DateJuly 26, 2006

Last NPPES UpdateNovember 30, 2009

✔ NPI 1861415200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MD · 01311

9956 N MAIN ST, Berlin, MD 21811

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Other Names 1

Doing Business AsShore Foot & Ankle

Other Identifiers 6

Medicaid4150953-00MD

Medicare NSC6031730001MD

OtherDN7994MD · Rail Road Medicare Group Ptan

Medicare UPINU81449MD

Medicare PIN518PMD

Other6031730001Dme

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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.

SARAH COLLEEN KERNAN D.C

Chiropractor

9956 N MAIN ST, SUITE 4
BERLIN, MD 21811

Worcester County (410) 629-1845

OPTIMAL HEALTH CHIROPRACTIC P. C.

Chiropractor

9956 N MAIN ST, SUITE 4
BERLIN, MD 21811

Worcester County (410) 629-1845

THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

9956 N MAIN ST, UNIT# 2
BERLIN, MD 21811

Worcester County (410) 973-2820

DR. DAVID GANNON DPM

Podiatrist

9956 N MAIN ST, SUITE #5
BERLIN, MD 21811

Worcester County (410) 629-0222

AMY MILLER GEHRIG RD, LD

Dietitian, Registered

9956 N MAIN ST, UNIT 2
BERLIN, MD 21811

Worcester County (410) 641-9568

JEFFERY CHARLES MICHAEL D.C.

Chiropractor

9956 N MAIN ST, SUITE 4
BERLIN, MD 21811

Worcester County (410) 629-1845

AMANDA G BUCKLEY DHHS RD

Dietitian, Registered

9956 N MAIN ST, SUITE 2
BERLIN, MD 21811

Worcester County (410) 629-6500

MR. GERARDO GRASSO JR. LSW

Social Worker

9956 N MAIN ST
BERLIN, MD 21811

Worcester County (667) 288-1566

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 Dpm LLC's NPI number?

The NPI number for David Gannon Dpm LLC is 1861415200. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Shore Foot & Ankle.

Where is David Gannon Dpm LLC located?

David Gannon Dpm LLC is located at 9956 N Main St Suite #5, Berlin, MD 21811. The listed phone number is (410) 629-0222.

What is David Gannon Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does David Gannon Dpm LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list David Gannon Dpm LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Gannon Dpm LLC was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.