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

Mark P. Gannon, MD

Individual provider Surgery Physician · NPI 1265437974

Mark P. Gannon, MD is a General Surgery in Jefferson Hills, Pennsylvania. Graduated from University of Pittsburgh School of Medicine in 1986, 40 years ago. Licensed in Pennsylvania.

Years since qualifying
40
Trained at
University of Pittsburgh School of Medicine
Licensed in
PA
In the registry since
2005
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

1200 Brooks Lane 170
Jefferson Hills, PA 15025-3749
Phone: (412) 469-7110
Fax: (412) 469-8965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD038841E (PA)

Record details

NPI number1265437974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address1200 Brooks Lane, 170, Jefferson Hills, PA 15025-3749

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Not indicated

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