Active NPI
William J Gallagher, MD
- Surgery Physician
- Everett, WA
National Provider Identifier
1992751689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00027708
- Practice address
- 3216 Norton Ave
Suite 202
Everett, WA 98201-4290 - Phone
- (425) 297-5330
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00027708 | WA | Primary |
Addresses
Primary practice location
3216 Norton Ave
Suite 202
Everett, WA 98201-4290
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00027708 | Other | WA | STATE LICENSE NUMBER |
| 020020304 | Other | WA | RAILROAD MEDICARE |
| 1058213 | Medicaid | WA | |
| 0049981 | Other | WA | LABOR AND INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027708 | WA | MD | Surgery Physician |
Interoperability endpoints
- wgallagher125449@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1992751689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NORTON AVE",
"address_2": "SUITE 202",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014290",
"telephone_number": "425-297-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00027708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD00027708",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020020304",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1058213",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0049981",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.