{"npi":"1881960037","type":"NPI-1","status":"active","name":{"display":"Dr. Stephen Gannon M.D.","other":[],"first":"STEPHEN","last":"GANNON","middle":"ANDREW","credential":"M.D."},"specialty":{"primary_taxonomy":"207RC0000X","primary_taxonomy_description":"Cardiovascular Disease","slug":"cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":"RI","license":"MD15347"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"RI","license":"MD15347"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207RC0000X","description":"Cardiovascular Disease","primary":true,"state":"MA","license":"274883"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 MOUNT AUBURN ST STE 310","city":"CAMBRIDGE","state":"MA","postal_code":"021385665","country_code":"US","phone":"6174971560","fax":"6174971190"},{"purpose":"MAILING","street_1":"300 MOUNT AUBURN ST STE 310","city":"CAMBRIDGE","state":"MA","postal_code":"021385665","country_code":"US","phone":"6174971560","fax":"6174971190"}],"license":{"state":"MA","number":"274883"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110146553A","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190516002990","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"RI","pac_id":"6709192214"},{"enrlmt_id":"I20200310001171","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"MA","pac_id":"6709192214"}]},"enumeration_date":"2012-03-31","last_updated":"2022-05-18","_meta":{"source":"NPPES","snapshot_date":"2022-05-18","doc_url":"https://findmynpi.com/api"}}