Individual provider Active NPI

Caitlin C Gallagher, MD

  • Pediatrics Physician
  • Helena, MT
National Provider Identifier
1093134413
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MED-PHYS-LIC-56360 Issued in MT
Practice address
2525 E Broadway St Ste 201
Helena, MT 59601-8049
Phone
(406) 447-2885
Fax
(406) 447-2883
NPI assigned
Apr 14, 2014
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MED-PHYS-LIC-56360 MT Primary

Addresses

Primary practice location

2525 E Broadway St Ste 201
Helena, MT 59601-8049

Mailing address

2525 E Broadway St Ste 201
Helena, MT 59601-8049
Phone (406) 447-2885

Other practice location 1

University Of Utah Hospital Graduate Medical
1C412 University Medical Center 30 North 1900 East
Salt Lake City, UT 84132-2155
Phone (801) 581-2401

Other names 1

  • Dr. Caitlin Colleen Gallagher Former name

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
MED-PHYS-LIC-56360MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Partners in Pediatrics P.C. Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1093134413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 201",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-447-2885",
            "fax_number": "406-447-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 201",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-447-2885",
            "fax_number": "406-447-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Utah Hospital Graduate Medical",
            "address_2": "1C412 University Medical Center 30 North 1900 East",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841322155",
            "country_code": "US",
            "telephone_number": "801-581-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CAITLIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-56360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "GALLAGHER",
            "middle_name": "COLLEEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.