Individual provider Active NPI

Ava Williamson Gallagher, MD

  • Pediatrics Physician
  • West Lake Hills, TX
National Provider Identifier
1396975397
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
42763 Issued in TX
Practice address
925 Westbank Dr Ste 100
West Lake Hills, TX 78746-6648
Phone
(512) 327-0411
Fax
(512) 327-5437
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 42763 TX Primary

Addresses

Primary practice location

925 Westbank Dr Ste 100
West Lake Hills, TX 78746-6648

Mailing address

925 Westbank Dr Ste 100
West Lake Hills, TX 78746-6648
Phone (512) 327-0411

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
42763TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ari Brown Pediatrics, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ava.gallagher.1@6793.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6793/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1396975397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WESTBANK DR STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466648",
            "telephone_number": "512-327-0411",
            "fax_number": "512-327-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WESTBANK DR STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466648",
            "telephone_number": "512-327-0411",
            "fax_number": "512-327-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AVA",
        "middle_name": "WILLIAMSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "42763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.