Active NPI
Regan S Gallaher, MD
- Neurological Surgery Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E3374
- Practice address
- 2200 Ada Ave Ste 302a
Conway, AR 72034-4985 - Phone
- (501) 932-0352
- Fax
- (501) 932-0354
- NPI assigned
- Jul 14, 2006
- Last updated
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E3374 | AR | Primary |
Addresses
Primary practice location
2200 Ada Ave Ste 302a
Conway, AR 72034-4985
Mailing address
PO Box 9662
Conway, AR 72033-9662
Phone (501) 932-0352
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5M327 | Other | AR | AR BC/BS |
| 149280001 | Medicaid | AR | |
| P00301757 | Other | AR | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Arkansas College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
186 W 600
Suite 100
Alexandria, IN 46001-8206
2526 Hwy 65 S
Suite 203
Clinton, AR 72031-6657
PO Box
Suite 2650
Pine Bluff, AR 71613-2650
PO Box
Suite 9662
Conway, AR 72033-9662
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 24 |
| Laminectomy or laminotomy (partial removal of spine bones) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3374 | AR | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas PA | Neurological Surgery | Past | Accepting new patients |
| Conway Regional Medical Center Inc | Past | Accepting new patients | |
| Hill Country Neurosurgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1235182064
-
- Specialist
- Austin, TX
- NPI 1871686436
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conway Regional Medical Clinic-Vilonia
- Rural Health Clinic/Center
- Vilonia, AR
- NPI 1063798858
Hospital
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
dba Conway Regional Medical Clinic-Russellville
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
dba Conway Regional Counseling Center
- Psychiatry Physician
- Conway, AR
- NPI 1730402249
Hospital
-
dba Mayflower Medical Clinic
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1992721880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9662",
"city": "CONWAY",
"state": "AR",
"postal_code": "720339662",
"telephone_number": "501-932-0352",
"fax_number": "501-932-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ADA AVE STE 302A",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344985",
"telephone_number": "501-932-0352",
"fax_number": "501-932-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAHER",
"first_name": "REGAN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AR",
"license": "E3374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BC/BS",
"identifier": "5M327",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149280001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00301757",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.