JOHN KILGALLEN


Address: 144 State St, Portland, ME 04101-3776
Phone: 2078793245

JOHN KILGALLEN (NPI# 1700086568) 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) 1700086568
Entity Type Individual
Full Name JOHN KILGALLEN
Credential M.D.
Practice Address 144 State St
Portland
ME 04101-3776
Mailing Address Po Box 1849
Lewiston
ME 04241-1849
Practice Telephone 2078793245
Mailing Telephone 2077842554
Mailing Fax Number 2077775363
Enumeration Date 2007-07-20
Last Update Date 2015-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
006291 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 295750099 05
NH 300033445 05

Office Location

Street Address 144 STATE ST
City PORTLAND
State ME
Zip Code 04101-3776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629078712 Mercy Hospital General Acute Care Hospital 144 State St, Portland, ME 04101-3776 2005-07-29
1518502913 Alex Langton Physician Assistant 144 State St, Portland, ME 04101-3776 2019-11-10
1033777362 John Mladucky Hospitalist 144 State St, Portland, ME 04101-3776 2019-06-01
1679041016 Molly Sue Galasyn Physician Assistant 144 State St, Portland, ME 04101-3776 2018-11-03
1114407004 Heather Lynne Hansen Physician Assistant 144 State St, Portland, ME 04101-3776 2018-08-20
1851891956 Christina Cange Nurse Practitioner 144 State St, Portland, ME 04101-3776 2018-02-15
1760990212 Kelsey Elizabeth Langley Physician Assistant 144 State St, Portland, ME 04101-3776 2018-01-18
1750805982 Michelle Ruth Clark Physician Assistant 144 State St, Portland, ME 04101-3776 2017-07-30
1720441058 Virginia Katherine H Weiss Anesthesiology 144 State St, Portland, ME 04101-3776 2016-04-04
1871951251 Abigail Louise Lee Social Worker 144 State St, Portland, ME 04101-3776 2016-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528413754 Bay Area Radiology, PC Radiology 2823 Ne 55th Ave, Portland, OR 97213-3439 2016-04-25
1790171585 Dianna Howard Radiology 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 2015-04-08
1245674506 Jaryd Yee Radiology Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 2013-04-17
1700175874 Ramsey Al-hakim Radiology 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 2011-03-29
1386961712 Yama Kharoti Radiology 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 2010-04-25
1639313273 David Pettersson Radiology Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-04-27
1629276191 Joe Mun-jung Chan Radiology 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 2007-07-06
1194846345 Jay H Donohoo Radiology 01641 Sw Comus St, Portland, OR 97219-7858 2007-04-03
1851458046 Summit Radiology Inc Radiology 1243 Sw Texas St, Portland, OR 97219-2046 2007-01-03
1376600064 Jeffrey Terrance Hal Radiology 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 2007-01-02
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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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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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