Organization Active NPI

Gallagher Pediatrics

  • Pediatrics Physician
  • Park City, UT
National Provider Identifier
1861012031
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Eileen Gallagher, MDNPI 1285721175
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.