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

Ian Michael Gannon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710279492

Ian Michael Gannon, MD is an Anesthesiology in Ann Arbor, Michigan. Graduated from Ohio State University College of Medicine in 2011, 15 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
Ohio State University College of Medicine
Licensed in
MI
In the registry since
2011
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

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 East Medical Center Dr, Ann Arbor, MI 48109-5048 — (734) 936-4280

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301098129 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1710279492
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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