DR. GARY LYLE GALLAGHER (NPI# 1770624371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770624371 |
| Entity Type | Individual |
| Full Name | DR. GARY LYLE GALLAGHER |
| Credential | M.D. |
| Practice Address |
777 Sw Mill View Way Ste 250 Bend OR 97702-1140 |
| Mailing Address |
2249 Nw Lakeside Pl Bend OR 97703-1354 |
| Practice Telephone | 5417283184 |
| Mailing Telephone | 5417283184 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD21961 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 134297 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699740456 | Gary Gallagher | Optometrist | 3080 Victor Ave, Redding, CA 96002-1449 | 2006-02-22 |
| 1285897702 | Gary William Gallagher | Psychiatry & Neurology | 1500 East Medical Center Drive, 1st Floor University Hospital Room 1b300, Ann Arbor, MI 48109-5036 | 2008-07-03 |
| 1104964808 | Gary David Gallagher | Podiatrist | 3550 Hobson Rd, Suite 204, Woodridge, IL 60517-1434 | 2007-02-02 |
| Street Address |
777 SW MILL VIEW WAY STE 250 |
| City | BEND |
| State | OR |
| Zip Code | 97702-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1811284433 | Ivan Nicolas Vial | Plastic Surgery | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 | 2011-07-03 |
| 1841475803 | Northwest Cosmetic Surgery, LLC | Plastic Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | 2008-01-08 |
| 1871577643 | Linda Joann Leffel | Plastic Surgery | 1715 Sw Chandler Avenue, Suite 100, Bend, OR 97702 | 2005-12-05 |
| 1851939953 | Northwest Cosmetic Surgery Holdings LLC | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702-1140 | 2019-12-19 |
| 1639614951 | Invmd Plastic Surgery LLC | Plastic Surgery | 2450 Ne Mary Rose Pl, Ste 200, Bend, OR 97701-7132 | 2016-12-21 |
| 1235307265 | Cascade Center for Plastic & Recon Surgery | Plastic Surgery | 2100 Ne Neff Rd, Suite A, Bend, OR 97701-6213 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1942507819 | James A Kilgore Md, PC | Plastic Surgery | 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 | 2011-02-11 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
| 1922160183 | John Sukwoo Lee | Plastic Surgery | 2363 Nw Flanders St, Portland, OR 97210-3409 | 2006-12-14 |
| 1386721694 | Tuan Anh Nguyen | Plastic Surgery | 15820 Quarry Rd, Lake Oswego, OR 97035-3336 | 2006-11-01 |
| 1609891035 | Gregory Lloyd Combs | Plastic Surgery | 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 | 2006-07-13 |
| 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.