MS. MICHAELA C GALLAGHER-GONZALES


Address: 2212 Brothers Rd, Santa Fe, NM 87505-6903
Phone: 5029839460

MS. MICHAELA C GALLAGHER-GONZALES (NPI# 1407904832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407904832
Entity Type Individual
Full Name MS. MICHAELA C GALLAGHER-GONZALES
Credential PA-C
Practice Address 2212 Brothers Rd
Santa Fe
NM 87505-6903
Mailing Address 1923 Kiva Rd
Santa Fe
NM 87505-3314
Practice Telephone 5029839460
Practice Fax Number 5059830568
Mailing Telephone 5059832980
Mailing Fax Number 5059832980
Enumeration Date 2007-01-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
NM 94 PA 34 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM MEDICAL LICENSE NM 94 PA 34 01
NM DEA MG0202806 01

Office Location

Street Address 2212 BROTHERS RD
City SANTA FE
State NM
Zip Code 87505-6903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902902620 Paul Walsky Psychiatry & Neurology 2212 Brothers Rd, Santa Fe, NM 87505-6903 2006-09-16
1952704496 Lee S Levin PC Internal Medicine 2212 Brothers Rd, Santa Fe, NM 87505-6903 2014-09-29
1699079590 Lyle B Amer Md PC Internal Medicine 2212 Brothers Rd, Santa Fe, NM 87505-6903 2011-01-06
1306997879 Holly Jean Purcell-callin Nurse Practitioner 2212 Brothers Rd, Santa Fe, NM 87505-6903 2007-01-13
1386794162 Lyle B Amer Internal Medicine 2212 Brothers Rd, Santa Fe, NM 87505-6903 2007-01-12
1952474892 Lee S Levin Internal Medicine 2212 Brothers Rd, Santa Fe, NM 87505-6903 2006-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
Find all providers in zip 87505

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871674911 April C. Grisetti Physician Assistant 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505-7709 2006-10-17
1871673608 Bonnie J Giacchetti Physician Assistant 2055 Pacheco St Ste 600, Santa Fe, NM 87505 2006-10-16
1639192792 Sheila O'shea Gibbens Physician Assistant 820 Paseo Deperlta, Santa Fe, NM 87501-2233 2006-07-26
1740201672 Danny M Mays Physician Assistant 1650 Hospital Dr Ste 800, Santa Fe, NM 87505-4789 2006-07-23
1841217403 Wabanang Gaiashkibos Kuczek Physician Assistant 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 2006-07-17
1346201704 Timothy Busch Physician Assistant 5 Calle Medico Ste A, Santa Fe, NM 87505-4762 2006-03-28
1649279266 Bridget Cornell Andrew Physician Assistant 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406 2005-07-15
1730181942 William T Bacon Physician Assistant 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 2005-06-01
1265084883 Brianna Zuniga Physician Assistant 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2019-07-13
1669879771 Karen Conner Physician Assistant 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 2014-12-04
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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