Patrick Russell Gannon is a Mcalester, Oklahoma based male orthopedic surgeon with 31 years of experience in Orthopedic Surgery. He completed his graduation from Washington University School Of Medicine in 1993. He is also affiliated with hospitals like Mcalester Regional Health Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Patrick Russell Gannon is 20652 for Orthopedic Surgery in Oklahoma.
Patrick Russell Gannon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Patrick Russell Gannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Experience:
31+ years
Medical School Attended:
Washington University School Of Medicine
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1 E Clark Bass Blvd, Suite 210, Mcalester, Oklahoma, 74501-4209
Phone:
918-421-6987
Fax:
918-421-6698
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2466453436
Enrollment ID:
I20091218000413
NPI Number:
1790747426
NPI Enumeration Date:
06 Apr, 2006
NPI Last Update On:
29 Jan, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patrick Russell Gannon are as mentioned below.
License Number
Specialization
State
Status
20652
Orthopedic Surgery
Oklahoma
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mcalester Regional Health Center (370034)
Mcalester, OK
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Patrick Russell Gannon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mcalester Medical Services Llc (9931139029)
22
Mcalester Regional Health Center Authority (6709796436)
20
Other Medical Identifiers:
Other legacy medical identifiers associated with Patrick Russell Gannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
74502A024
Other
Oklahoma
CHAMPUS
G67583
Other
Oklahoma
STERLING OPTION 1
1000176970A
Medicaid
Oklahoma
731310891006
Other
Oklahoma
UNICARE
1324230001
Other
Oklahoma
PALMETTO DME
731310891028
Other
Oklahoma
TRICARE SOUTH
0166707
Other
Oklahoma
UMWA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1245 S Utica Ave, Fl 2 Tulsa, Oklahoma
Zip:
74104-4214
Phone Number:
918-579-2300
Fax Number:
918-579-2309
Patients can reach Patrick Russell Gannon at 1 E Clark Bass Blvd, Suite 210, Mcalester, Oklahoma or can call to book an appointment on 918-421-6987. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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