Eric Shannon Gallagher

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

900 Kensington Dr
Apt 923
Jacksonville, NC 28546-7162

Phone

(910) 450-9581

NPI assigned

Nov 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1891975983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KENSINGTON DR",
            "address_2": "APT 923",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467162",
            "telephone_number": "910-450-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 KENSINGTON DR",
            "address_2": "APT 923",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467162",
            "telephone_number": "910-450-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "ERIC",
        "middle_name": "SHANNON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G. M. Conekin, III, OD, PA
• Warren F Gabaree Jr., DDS, MED
• Erik Gable, PHARMD
• Taylor Shea Gaffney, PHARMD
• Mary Kathleen Galbraith
• Amanda Renee Wells Galluppi, PA-C
• Angela Gannon, MD
• James C Gant, M.D., F.A.A.P.
• Sandy Gant, MS, OTR/L
• Sara M Gant, LCMHC-A

• Independent Duty Corpsman in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.