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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL GALLAGHER M.D.

MEDICARE: DR. JOHN MICHAEL GALLAGHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician35-04-6761OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003806886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL GALLAGHER M.D.
Provider Business Mailing Address
First Line : 3650 MUDDY CREEK RD
Second Line : SUITE 100
City : CINCINNATI
State : OH
Zip : 45238-2057
Country : US
Telephone Number : 513-451-0500
Fax Number : 513-451-0210
Provider Business Practice Location Address
First Line : 3650 MUDDY CREEK RD
Second Line : SUITE 100
City : CINCINNATI
State : OH
Zip : 45238-2057
Country : US
Telephone Number : 513-451-0500
Fax Number : 513-451-0210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 02/07/2012

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