DR. KENNETH L. GAMMON M.D. NPI 1528061447

NPI Information

NPI: 1528061447
Provider Name: DR. KENNETH L. GAMMON, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
303 S NAPPANEE ST
ELKHART, IN
ZIP 46514
Phone: (574) 296-3314
Get Directions

DR. Kenneth L. Gammon, M.D. is a pulmonary disease internal medicine in Elkhart, IN with 49 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Kenneth L. Gammon, M.D. NPI is 1528061447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

303 S NAPPANEE ST
ELKHART, IN
ZIP 46514-066
Phone: (574) 296-3314
Fax: (574) 296-3351

The NPI 1528061447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	01029946A	INDIANA	No
2	207R00000X	Internal Medicine		01029946A	INDIANA	No
3	208M00000X	Hospitalist		01029946A	INDIANA	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	01029946A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	227950VVV	MEDICARE PIN	INDIANA
2	100112420A	MEDICAID	INDIANA
3	B28626	MEDICARE UPIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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