Active NPI
Allergy & Asthma of Northwestern Pennsylvania, LLC
- Allergy & Immunology Physician
- Erie, PA
National Provider Identifier
1356719561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD025120E
- Legal business name
- ALLERGY & ASTHMA OF NORTHWESTERN PENNSYLVANIA, LLC
- Practice address
- 2202 W 15TH St
Erie, PA 16505-4510 - Phone
- (814) 456-5341
- Fax
- (814) 456-5647
- NPI assigned
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Edward Gallagher, M.D.
- Title
- Physician
- Phone
- (814) 456-5341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD025120E | 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
National Provider Directory
National Provider DirectoryLocations
2202 W 15th St
Erie, PA 16505
Phone (814) 456-5341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447200000000",
"number": "1356719561",
"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": {
"organization_name": "ALLERGY & ASTHMA OF NORTHWESTERN PENNSYLVANIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-11-11",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "814-456-5341",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD025120E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.