RYAN GALLO (NPI# 1538301395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538301395 |
| Entity Type | Individual |
| Full Name | RYAN GALLO |
| Credential | PA-C |
| Practice Address |
55 Fogg Rd Weymouth MA 02190-2432 |
| Practice Telephone | 7813408000 |
| Mailing Telephone | 7813408000 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3741 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | PA3741 | 01 |
| Street Address |
55 FOGG RD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626233 | Susan Duty | Registered Nurse | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-07-13 |
| 1104443670 | Olivia Sennett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2020-07-01 |
| 1962028290 | Kristin M Gerritsen | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-06-23 |
| 1972142834 | Shannon Badgett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-12-24 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1164073144 | Hilary Margaret Flynn | Nurse Practitioner | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-22 |
| 1922658863 | Heather Kathryn Ewell | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-12 |
| 1043870793 | Lindsey Burke | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-06-15 |
| 1699237008 | Kendall Jasinski | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-04-03 |
| 1467925198 | Alexandra Mckelvey | Physician Assistant | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1124035647 | Christopher Meals | Physician Assistant | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1922651405 | Ingrid Florencio Delinski | Physician Assistant | 78 Alvarado Ave, Worcester, MA 01604-1152 | 2019-07-23 |
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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.