Eileen Gallagher, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9086607-1205 Issued in UT

Practice address

1441 Ute Blvd Ste 220
Park City, UT 84098-7636

Phone

(435) 602-0187

Fax

(435) 355-3734

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Locations

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

• Gallagher Pediatrics

  • Pediatrics Physician
  • Park City, UT
  • NPI 1861012031
  NPD Authorized official
• Wasatch Pediatrics, Inc

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1124102595
  NPD (past)
• Camino Medical Group

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1396790978
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1285721175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 UTE BLVD STE 220",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987636",
            "telephone_number": "435-602-0187",
            "fax_number": "435-355-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 UTE BLVD STE 220",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987636",
            "telephone_number": "435-602-0187",
            "fax_number": "435-355-3734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Dublin Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945683112",
            "country_code": "US",
            "telephone_number": "925-875-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154 Center Dr Ste D240",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840981257",
            "country_code": "US",
            "telephone_number": "435-602-0187",
            "fax_number": "435-608-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A62729",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "9086607-1205",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "90866071205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G&G Dental PLLC
• Gale and Associates Center for Assessment and Psychotherapy
• Corey Maxwell Gale, PSY.D.
• Jennifer Gale, PSY.D.
• Gallagher Pediatrics
• Louise Knetzger Gallagher, LAC.
• Brianna Gallery
• Keri Gardner, MD MPH
• Paul John Gardner, MFT
• Patrick Gentempo Jr.

• Pediatrics Physician in Park City, UT
• Providers in Park City, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.