Randy A Gallagher, DO
Individual provider Active NPI Emergency Medicine Physician · Fishersville, VA
NPI 1992759286 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1992759286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0102036946 (VA)
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 932-4465
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bath County Community Hospital
Practice addresses (Care Compare)
106 Park Dr
Hot Springs, VA 24445-2921
Phone (540) 839-7000
Hospital & facility affiliations
- Bath Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070309000154 | VA | Practitioner - Emergency Medicine | 4284737560 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102036946 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Community Hospital | Current |
Accepting new patients | |
| Shenandoah Emergency Medicine Specialists LLC | Emergency Medicine | Current |
Accepting new patients |
| Lexington Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Augusta Emergency Physicians, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
Interoperability endpoints
- rgallagher60888@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102036946 | VA | Yes |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
PO Box 32849
Dept 274
Charlotte, NC 28232-2849
Phone (540) 932-4465
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00385724 | Other | VA | RR MEDICARE |
| 006025684 | Medicaid | VA | |
| 010347564 | Medicaid | VA | |
| 249833 | Other | VA | BLUE SHIELD |
Other providers in Fishersville, VA
- Joseph James Freeze
- Pamela Ann Fuller
- Fuller'S Orthopedic
- Thomas Walter Futrell
- Meghan E. Gaare
- Brenna Gannon
- John C. Garber Jr.
- Gwenalyn G. C. Garcia
- Sherrie Lynn Garcia
- Sonya D Gasser
All providers in Fishersville, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.