Active NPI
Jimmy Coursen Gallagher
- Radiography Radiologic Technologist
- Midland, TX
National Provider Identifier
1457566705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 356305
- Practice address
- 5006 Hilltop Dr
Midland, TX 79707-3228 - Phone
- (432) 212-4935
- Fax
- (888) 758-0672
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 356305 | TX | Primary |
Addresses
Primary practice location
5006 Hilltop Dr
Midland, TX 79707-3228
Mailing address
5006 Hilltop Dr
Midland, TX 79707-3228
Phone (432) 212-4935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356305 | TX | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1457566705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 HILLTOP DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073228",
"telephone_number": "432-212-4935",
"fax_number": "888-758-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 HILLTOP DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073228",
"telephone_number": "432-212-4935",
"fax_number": "888-758-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JIMMY",
"middle_name": "COURSEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "TX",
"license": "356305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.