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

Matthew P Gannon, MD

Individual provider Anesthesiology Physician · NPI 1700942646

Matthew P Gannon, MD is an Anesthesiology in Charleston, South Carolina. Graduated from State University of New York at Buffalo School of Medicine in 2011, 15 years ago. Practices with Coastal Anesthesia Associates LLC, a 24-clinician group and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
15
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY, SC
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

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
Fax: (877) 561-7564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 33892 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 240694-1 (NY)

Record details

NPI number1700942646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESJune 6, 2012

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Coastal Anesthesia Associates Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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