Organization Active NPI

Ryan Gallagher PLLC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Altus, OK
National Provider Identifier
1477653293
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
22340 Issued in OK
Legal business name
RYAN GALLAGHER PLLC
Practice address
3216 N Main St
Altus, OK 73521-1307
Phone
(580) 379-9090
Fax
(580) 379-9091
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Ryan Gallagher, M.D.
Title
Orthopedic Surgeon
Phone
(580) 379-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X 22340 OK Primary

Addresses

Primary practice location

3216 N Main St
Altus, OK 73521-1307

Mailing address

3216 N Main St
3804 Heritage Trail Altus,Ok. 73521
Altus, OK 73521-1307
Phone (580) 379-9090

Other identifiers 1

IdentifierTypeStateIssuer
200089670AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

3216 N Main St
#3804
Altus, OK 73521

304 S Park Ln
Altus, OK 73521
Phone (580) 379-6500

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1477653293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 N MAIN ST",
            "address_2": "3804 HERITAGE TRAIL ALTUS,OK. 73521",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211307",
            "telephone_number": "580-379-9090",
            "fax_number": "580-379-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211307",
            "telephone_number": "580-379-9090",
            "fax_number": "580-379-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN GALLAGHER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "580-379-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OK",
            "license": "22340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.