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

Ryan Gannon

Individual provider Family Medicine Physician · NPI 1376108423

Ryan Gannon is a Family Medicine Physician in Jenkintown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

101 Old York Rd Ste 201
Jenkintown, PA 19046-3912
Phone: (215) 248-8145
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD476373 (PA)

Record details

NPI number1376108423
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESJune 26, 2022
Certification dateJune 26, 2022
Mailing address8000 Germantown Ave Apt 2f, Philadelphia, PA 19118-3440

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