Patrick Timothy Gallagher Sr., M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.016829 Issued in LA

Practice address

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119

Phone

(318) 212-5500

Fax

(318) 212-5358

NPI assigned

Jan 2, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Turn-Row Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winnsboro, LA
  • NPI 1194903146
  NPD (past)
• Willis Knighton Medical Center, Inc. WK Emergency Dept Group

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1669422796
  NPD (past)
• Hospital Care Consultants Region II Inc

  • Internal Medicine Physician
  • West Memphis, AR
  • NPI 1558491449
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215094040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 PEPPER RIDGE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711159412",
            "telephone_number": "318-798-7077",
            "fax_number": "318-798-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183119",
            "telephone_number": "318-212-5500",
            "fax_number": "318-212-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PATRICK",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.016829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "016829",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antronada Gaines
• Evelyn Gaines, SLP
• Steven Michael Galbraith, NP
• Brooklyn Galimore, LPN
• Kevin Gallagher, MD
• Gallego Health
• William H Gallmann III, M.D.
• Jerome Keith Galloway
• Lynda J Galloway, LAC
• Gamble Hospice Care Northwest, LLC (Aime Hospice Care)

• Emergency Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.