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Contact Information

PETER M MCGANNON, MD
5001 ROCKSIDE RD # IN4
INDEPENDENCE, OH44131-2172
 Phone: 216-986-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PETER M MCGANNON · (Male)

NPI Number 1679730758
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2008
Last updated 06/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125-049375
  • OH License # 35.095387
  • TX License # N3173
  • OH Medicaid 3071287
Hospital affiliation(s)
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
  • FAIRVIEW HOSPITAL - (Acute Care)
    18101 LORAIN AVENUE
    CLEVELAND, OH 44111
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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