Active NPI
Gallagher Pediatrics
- Pediatrics Physician
- Park City, UT
National Provider Identifier
1861012031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GALLAGHER PEDIATRICS
- Practice address
- 1441 Ute Blvd Ste 220
Park City, UT 84098-7636 - Phone
- (435) 602-0187
- Fax
- (435) 355-3734
- NPI assigned
- Apr 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eileen Gallagher, MD
- Title
- Manager
- Phone
- (415) 533-8138
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1441 Ute Blvd Ste 220
Park City, UT 84098-7636
Mailing address
1441 Ute Blvd Ste 220
Park City, UT 84098-7636
Phone (435) 602-0187
National Provider Directory
National Provider DirectoryLocations
1154 Center Dr
Ste D240
Park City, UT 84098
Phone (435) 602-0187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Park City, UT
- NPI 1285721175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1861012031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 UTE BLVD STE 220",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987636",
"telephone_number": "435-602-0187",
"fax_number": "435-355-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 UTE BLVD STE 220",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987636",
"telephone_number": "435-602-0187",
"fax_number": "435-355-3734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLAGHER PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-17",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "415-533-8138",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
- Erik Makay Fristrup
- G&G Dental PLLC (Mountain High Family Dental and Orthodontics)
- Gale and Associates Center for Assessment and Psychotherapy
- Corey Maxwell Gale, PSY.D.
- Jennifer Gale, PSY.D.
- Eileen Gallagher, MD
- Louise Knetzger Gallagher, LAC.
- Brianna Gallery
- Keri Gardner, MD MPH
- Paul John Gardner, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.