Tim Gannon, P.A.

Individual Active
NPI 1780992024
Medical Physician Assistant Santa Fe, NM

NPI 1780992024 belongs to Tim Gannon, P.A., a medical physician assistant with a practice location in Santa Fe, NM. The NPI was issued on September 21, 2010, and the record was last updated in NPPES on March 26, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA2010-0058 (NM)

Practice location

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone: (505) 955-9454

Local context

Active NPPES records list 29 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 278 in New Mexico and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Tim B Gannon
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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