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

Sean P. Gannutz, PA-C

Individual provider Physician Assistant · NPI 1174993711

Sean P. Gannutz, PA-C is a Physician Assistant in Rogersville, Missouri. Qualified in 2014, 12 years ago. Practices with Rockbridge Area Free Clinic, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

151 Johnstown Dr
Rogersville, MO 65742-9366
Phone: (417) 269-2252
Fax: (417) 269-2259
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2015032410 (MO)

Record details

NPI number1174993711
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESOctober 24, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rockbridge Area Free Clinic — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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