SEAN GALLAGHER (NPI# 1518579325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518579325 |
| Entity Type | Individual |
| Full Name | SEAN GALLAGHER |
| Credential | PA-S |
| Practice Address |
1819 Carew St Fort Wayne IN 46805-4705 |
| Mailing Address |
5415 Old Dover Blvd Apt 8 Fort Wayne IN 46835-2867 |
| Practice Telephone | 2602032914 |
| Mailing Telephone | 8126797531 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356686414 | Sean Gallagher | Ophthalmology | 423 Marywatersford Rd, Bala Cynwyd, PA 19004-2006 | 2012-11-30 |
| 1598996977 | Sean M. Gallagher | Chiropractor | 3253 Old Frankstown Rd, Suite H, Pittsburgh, PA 15239-2940 | 2009-08-03 |
| 1770601981 | Sean Simon Gallagher | Chiropractor | 143 Palmer Ave, Falmouth, MA 02540-2871 | 2007-03-26 |
| 1255954368 | Sean Michael Gallagher | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-05-22 |
| 1467016808 | Sean Gallagher | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2019-04-30 |
| 1366812422 | Sean Gallagher | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2015-10-01 |
| 1891180329 | Sean Gallagher | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-1423 | 2015-04-01 |
| 1295120194 | Sean Gallagher | Pediatrics | 399 East Main Street, Newark, OH 43055 | 2015-03-30 |
| 1013326776 | Sean Thomas Gallagher | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2014-08-07 |
| 1477818250 | Sean William Gallagher | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2012-07-09 |
| Street Address |
1819 CAREW ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464972 | Raymond E Dusman Jr. | Internal Medicine | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2005-08-15 |
| 1396345492 | Brandon Capalbo | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-28 |
| 1124626718 | Madeline Alexander | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-15 |
| 1083211395 | Aaron Oscar Peterson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-08 |
| 1871109603 | Megan N Hargett | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
| 1790391571 | Laynie Lyn Mason | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
| 1275147423 | Erin Marie Barnum | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-04 |
| 1205449345 | Christopher Paul Thompson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-28 |
| 1871106245 | Sarrina Patel | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
| 1053924415 | Tanner Stippich | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1790394146 | Katie Patterson | Student in an Organized Health Care Education/Training Program | 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 | 2020-07-30 |
| 1891304689 | Alexi Nicole Seely | Student in an Organized Health Care Education/Training Program | 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 | 2020-07-28 |
| 1659980365 | Laura Kraft | Student in an Organized Health Care Education/Training Program | 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 | 2020-07-28 |
| 1073145983 | Caelan Williams | Student in an Organized Health Care Education/Training Program | 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 | 2020-02-08 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1700440641 | Mary Danny Dickow | Student in an Organized Health Care Education/Training Program | 1804 Cymbeline Ct, Fort Wayne, IN 46818-9265 | 2019-04-25 |
| 1477086189 | Yogesh Jonna | Student in an Organized Health Care Education/Training Program | 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 | 2017-04-10 |
| 1922547702 | Zin Than | Student in an Organized Health Care Education/Training Program | 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 | 2017-02-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on SEAN GALLAGHER.
| 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.