Active NPI
Abigail Grace Gallagher, PA-C
- Physician Assistant
- Westminster, MD
National Provider Identifier
1508638487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C09160
- Practice address
- 200 Memorial Ave
Westminster, MD 21157-5726 - Phone
- (410) 848-3000
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1215954 | MD | |
| Emergency Medicine Physician | 207P00000X | 1215954 | MD | |
| Physician Assistant | 363A00000X | C09160 | MI | Primary |
Addresses
Primary practice location
200 Memorial Ave
Westminster, MD 21157-5726
Mailing address
5106 Avoca Ave
Ellicott City, MD 21043-6615
Phone (443) 878-7254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231209000748 | MD | Practitioner - Physician Assistant | 7719336247 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215954 | MD | MD | Emergency Medicine Physician |
| C09160 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Mep Observation Services LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Emergency Medicine Physician
- Aberdeen, MD
- NPI 1609627082
Emergency Medicine
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
Internal Medicine
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Internal Medicine
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1508638487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5106 AVOCA AVE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436615",
"telephone_number": "443-878-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEMORIAL AVE",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575726",
"telephone_number": "410-848-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "ABIGAIL",
"middle_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "1215954",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "1215954",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "C09160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.