Christopher James Gallagher, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA002694 Issued in PA

Practice address

169 Martin Ave
Medical Staff Office
Ephrata, PA 17522-1724

Phone

(717) 733-0311

NPI assigned

Jul 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ac Med LLCGroup PAC ID 4587039441, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Ac Med LLC.

  • Urgent Care Clinic/Center
  • Kailua Kona, HI
  • NPI 1699480376
  Medicare reassignment Care Compare group Authorized official
• Hawaii Emergency Physicians Associated Inc

  • Emergency Medicine Physician
  • Kailua, HI
  • NPI 1801843198
  Medicare reassignment
• MF Med Inc

  • Pain Medicine (Anesthesiology) Physician
  • Kailua Kona, HI
  • NPI 1407109085
  Medicare reassignment
• Midpacific Hospitalists LLC

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1053778217
  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1629366125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-733-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendship Community
• Tiffany Ann Fritz, DPT
• Eliyahu E Fuchs, MD
• Patricia Joann Fuehrer, M.S.
• Shannon Tracey Gagliardi, PA-C
• Stephanie Gallagher
• Cheryl Lynne Gardner, DO
• Kylie Nichole Gardner, CPHT
• Kaitlyn Garnto, CRNP
• Robert Charles Garrett, DMD

• Medical Physician Assistant in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.

Verify at the official NPI Registry.