David Gannon DPM LLC
NPI 1861415200 · Foot & Ankle Surgery Podiatrist · Berlin, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Gannon DPM LLC is a Foot & Ankle Surgery Podiatrist organization in Berlin, MD (NPI 1861415200).
Provider details
- NPI number
- 1861415200
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- David Gannon, Podiatrist/Sole Owner(410) 629-0222
- License
- 01311 (MD)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shore Foot & Ankle
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2009-11-30
Frequently asked questions
- What is David Gannon DPM LLC's NPI number?
- David Gannon DPM LLC's National Provider Identifier (NPI) is 1861415200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David Gannon DPM LLC?
- David Gannon DPM LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is David Gannon DPM LLC located?
- David Gannon DPM LLC's practice location on file with NPPES is 9956 N Main St, Berlin, MD 21811-1077.
- What is David Gannon DPM LLC's phone number?
- The practice phone number listed in the NPPES registry for David Gannon DPM LLC is (410) 629-0222.
- Does David Gannon DPM LLC accept Medicare?
- David Gannon DPM LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for David Gannon DPM LLC?
- The authorized official listed on David Gannon DPM LLC's NPPES record is David Gannon, Podiatrist/Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David Gannon DPM LLC's NPI active?
- Yes — David Gannon DPM LLC's NPI (1861415200) is active in the NPPES registry as of the last update on 2009-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.