Individual provider Active NPI

Philip Edward Gallagher, MD

  • Allergy & Immunology Physician
  • Erie, PA
National Provider Identifier
1023019239
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD 025120E Issued in PA
Practice address
2202 W 15TH St
Erie, PA 16505-4510
Phone
(814) 456-5341
Fax
(814) 456-5647
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD 025120E PA Primary

Addresses

Primary practice location

2202 W 15TH St
Erie, PA 16505-4510

Mailing address

2202 W 15TH St
Erie, PA 16505-4510
Phone (814) 456-5341

Other identifiers 2

IdentifierTypeStateIssuer
000808942MedicaidPA
10927188OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgallagher148790@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 025120EPAMDAllergy & Immunology Physician

Interoperability endpoints

  • Direct secure messaging: pgallagher148790@direct.ahn.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1023019239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 W 15TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054510",
            "telephone_number": "814-456-5341",
            "fax_number": "814-456-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W 15TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054510",
            "telephone_number": "814-456-5341",
            "fax_number": "814-456-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PHILIP",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD 025120E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808942",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10927188",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgallagher148790@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2202 W 15th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.