Michael J. Gallagher, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD023494E Issued in PA

Practice address

211 E 3Rd St
Lewistown, PA 17044-1712

Phone

(717) 242-7297

Fax

(717) 242-7741

NPI assigned

Jun 16, 2005

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgallagher121346@direct.geisinger.edu
• Direct secure messaging: michael.gallagher@direct.hvhc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Radiation Medicine Associates of Upper Delaware Valley

  • Specialist
  • Milford, PA
  • NPI 1316946981
  NPD (past) Authorized official
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  dba PrimeMed Medical Grp Dunmore in collaboration w/Geisinger Clinic

  • Family Medicine Physician
  • Dunmore, PA
  • NPI 1821405408
  NPD
• Northeast Radiation Oncology Center

  • Radiation Oncology Physician
  • Dunmore, PA
  • NPI 1891794467
  NPD (past)
• Goshen Medical Associates PC

  • Pulmonary Disease Physician
  • Goshen, NY
  • NPI 1689620973
  NPD (past)
• Thomas R. Eanelli Radiation Oncology Services, PLLC

  • Radiation Oncology Physician
  • Middletown, NY
  • NPI 1497068043
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1598760431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 3RD ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441712",
            "telephone_number": "717-242-7297",
            "fax_number": "717-242-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-023494-E",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD023494E",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD023494E",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD 023494 E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000926356",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5198607",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155513",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgallagher121346@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "211 E 3rd St",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Demma Franklin
• Nicole Renee Frazier, LSW
• Amy M Freed, AU.D.
• Shamere Renee Fultz
• Frank James Furfaro, RPH
• Stephanie Gardner
• Ashle Garman, LCSW
• Lauren Garver, DPT
• Jacklyn Mae Gaugler, PA-C
• John W Gehman, MD

• Radiation Oncology Physician in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.