Dr. David Gannon, DPM
Dr. David Gannon, DPM is a Podiatry in Berlin, Maryland. Graduated from New York College of Podiatric Medicine in 1996, 30 years ago. Practices with Tidalhealth Atlantic Inc, a 96-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.
- Years since qualifying
- 30
- Trained at
- New York College of Podiatric Medicine
- Licensed in
- DE, MD
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
9956 N Main St Ste #5Berlin, MD 21811-1077
Phone: (410) 629-0222
Fax: (410) 629-0225
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 01311 (MD) |
|---|---|
| Podiatrist | Taxonomy 213E00000X · Licence E1-0000205 (DE) |
Record details
| NPI number | 1376521492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2006 |
| Last updated in NPPES | April 5, 2019 |
| Mailing address | 9956 N Main St, Suite #5, Berlin, MD 21811-1077 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Group practice | Tidalhealth Atlantic Inc — 96 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Berlin
-
Tidalhealth Specialty Care, LLC
10231 Old Ocean City Blvd Ste 104, Berlin, MD 21811-3567 · (410) 629-6863
-
Tidalhealth Specialty Care, LLC
10231 Old Ocean City Blvd Ste 104, Berlin, MD 21811-3567 · (410) 629-6863