JAMES W GALLAGHER DPM (NPI# 1629117411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629117411 |
| Entity Type | Organization |
| Organization Name | JAMES W GALLAGHER DPM |
| Other Organization Name | SUPERIOR FOOT & ANKLE |
| Practice Address |
1414 W Fair Ave Ste 290 Marquette MI 49855-2683 |
| Practice Telephone | 9062254782 |
| Practice Fax Number | 9062257835 |
| Mailing Telephone | 9062254782 |
| Mailing Fax Number | 9062257835 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HEATHER L FRUSTAGLIO (OFFICE MANAGER) |
| Authorized Official Telephone | 9062254782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901001221 | MI | Podiatric Medicine & Surgery Service Providers |
| X | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
5901001221 | MI | Podiatric Medicine & Surgery Service Providers |
| X | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5901001221 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4393452 | 05 |
| Other Name | Type Code |
|---|---|
| SUPERIOR FOOT & ANKLE | Doing Business As Name - Organization |
| Street Address |
1414 W FAIR AVE STE 290 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790188373 | Teter Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 1414 W Fair Ave Ste 290, Marquette, MI 49855-5411 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467082 | James W Gallagher | Podiatrist | 1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
| 1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
| 1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
| 1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
| 1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
| 1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
| 1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
| 1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
| 1831219542 | Foot and Ankle Group, P.C. | Podiatrist | 6533 E Jefferson Ave Apt 317, Detroit, MI 48207-4361 | 2007-03-29 |
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
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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.