MARK R. GALLAGHER (NPI# 1457580441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457580441 |
| Entity Type | Individual |
| Full Name | MARK R. GALLAGHER |
| Credential | MD |
| Practice Address |
119 Belmont St Department of Emergency Medicine Worcester MA 01605-2903 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5084211400 |
| Practice Fax Number | 5084211490 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2012-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 250524 | MA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301094925 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110092336A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820530 | Mark Gallagher | Psychologist | 2100 Creekview Dr, Marysville, OH 43040-8391 | 2015-09-08 |
| 1366451379 | Mark S Gallagher | Durable Medical Equipment & Medical Supplies | 79 Main Street, Ogdensburg, NJ 07439 | 2006-08-07 |
| 1164416954 | Mark A Gallagher | Surgery | 295 Maple St, Suite 200, Tawas City, MI 48763-9352 | 2005-09-07 |
| 1164607347 | Mark Joseph Gallagher | Pharmacist | 236 Main St, New Paltz, NY 12561-1314 | 2008-01-07 |
| 1134280423 | Mark Richard Gallagher | Social Worker | 173 Chelsea St, Tri City Mental Health Center, Everett, MA 02149 | 2006-12-12 |
| 1497757421 | Mark D Gallagher | Internal Medicine | 5800 Park Center, A, Toledo, OH 43615 | 2005-08-10 |
| Street Address |
119 BELMONT ST DEPARTMENT OF EMERGENCY MEDICINE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791339 | Trista A Brown | Physical Medicine & Rehabilitation | 119 Belmont St, Dept of Orthopedics, Worcester, MA 01605-2903 | 2005-09-21 |
| 1730788779 | Jaclyn Rose Mello | Registered Nurse | 119 Belmont St, Worcester, MA 01605-2903 | 2020-10-21 |
| 1881222362 | Rachel Catherine Taylor | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1255969937 | Aashna Saini | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1952939696 | Camille Dana Campion | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1215564356 | Briana L Jones | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1740817782 | Ciarra Louise Nickerson | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1619518461 | Pia Clive | Pharmacist | 119 Belmont St, Worcester, MA 01605-2903 | 2019-10-02 |
| 1144873894 | Heather Dubrule | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2982 | 2019-07-22 |
| 1023661360 | Jennifer Parker | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2903 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1831232230 | Mark S Distefano | Emergency Medicine | Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604 | 2007-02-15 |
| 1477621217 | Kishani Heendeniya Heller | Emergency Medicine | Dept of Emegency Medicine, 20 Worcester Ctr Blvd, Worcester, MA 01608-1320 | 2006-12-01 |
| 1699880658 | Octavio J Diaz | Emergency Medicine | Saint Vincent Hospital, 20 Worcester Ctr Blvd, Worcester, MA 01608 | 2006-08-20 |
| 1801803648 | Thomas Andrew Gould | Emergency Medicine | St. Vincent Hospital-emergency Department, 123 Summer Street, Worcester, MA 01608 | 2006-08-02 |
| 1679556534 | Jonathan S. Grayzel | Emergency Medicine | 72 Pointe Rok Dr, Worcester, MA 01604-1467 | 2005-11-23 |
| 1457853301 | Jared Vona | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-07 |
| 1417489477 | Marc J. Rigatti | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-29 |
| 1578095857 | Powell L. Graham | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-28 |
| 1952832479 | Lia R. Garry | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-26 |
| Find all providers in WORCESTER | ||||
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| 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.