Organization Active NPI

Allergy & Asthma of Northwestern Pennsylvania, LLC

  • Allergy & Immunology Physician
  • Erie, PA
National Provider Identifier
1356719561
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD025120E Issued in PA
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

Updated by the provider on Nov 11, 2015

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.