Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Kevin Gannon, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1790704856

Dr. Michael Kevin Gannon, MD is an Orthopedic Surgery in Bellingham, Washington. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1982, 44 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
44
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2979 Squalicum Pkwy Ste #203
Bellingham, WA 98225-1811
Phone: (360) 733-7670
Fax: (360) 647-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD00021195 (WA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD00021195 (WA)

Record details

NPI number1790704856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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