Robert Joseph Gallagher, PA-C

Individual provider Active NPI Medical Physician Assistant · Parrish, FL

NPI 1508062522 · NPPES record last updated Jul 21, 2014

Key facts

NPI: 1508062522
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 50.002412 (OH)
Practice address: 12271 US Highway 301 N
Parrish, FL 34219-8410
Phone: (941) 776-4000
NPI assigned: Jun 26, 2007
Sex: Male
Sole proprietor: No

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.

MCR Health, Inc. Federally Qualified Health Center (FQHC) · Parrish, FL · NPI 1255376000

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
50.002412	OH	MD	Medical Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
MCR Health, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	50.002412	OH	Yes

Addresses

Primary practice location

12271 US Highway 301 N
Parrish, FL 34219-8410

Mailing address

PO Box 997
Palmetto, FL 34220-0997
Phone (941) 776-4000

Other providers in Parrish, FL

All providers in Parrish, FL · Medical Physician Assistant in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.