Healthcare Provider Details

I. General information

NPI: 1497662647
Provider Name (Legal Business Name): JOHN JOSEPH GALLAGHER DNP, RN, CCNS, CCRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 EUCLID AVE
CLEVELAND OH
44106-1712
US

IV. Provider business mailing address

32499 ENGLISH TURN
AVON LAKE OH
44012-3321
US

V. Phone/Fax

Practice location:
  • Phone: 215-459-2026
  • Fax:
Mailing address:
  • Phone: 215-459-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number517209
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: