Kevin Michael Gallagher (NPI# 1275776718, PAC ID# 4082916911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1275776718 |
| PAC ID by PECOS | 4082916911 |
| Professional Enrollment ID | I20160108000468 |
| Full Name | Kevin Michael Gallagher |
| Organization Legal Name | LOUISIANA ONCOLOGY, LLC |
| Address |
102 Thomas Rd Suite 113 West Monroe LA 71291-7365 |
| Phone Number | 3183224673 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2009 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557519527 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190245 | MONROE SURGICAL HOSPITAL |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 Thomas Rd, Suite 113, West Monroe, LA 71291-7365 | 3183224673 | LOUISIANA ONCOLOGY, LLC |
| Organization Legal Name | LOUISIANA ONCOLOGY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Walker | Hematology/oncology | Louisiana Oncology, LLC | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 |
| Sanjay A Joseph | Hematology/oncology | Louisiana Oncology, LLC | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 |
| Street Address |
102 THOMAS RD SUITE 113 |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-7365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trudy H Sanson | Endocrinology | 102 Thomas Rd, Suite 206, West Monroe, LA 71291-5547 | |
| Henry C Zizzi Iii | General Surgery | 102 Thomas Rd, Suite 203, West Monroe, LA 71291-5547 | |
| Ronald Fredrick Hammett | Pulmonary Disease | 102 Thomas Rd, Suite 107, West Monroe, LA 71291-7365 | |
| Blaine M Borders | Thoracic Surgery | 102 Thomas Rd, Suite 205, West Monroe, LA 71291-5547 | |
| Audrey A Walton | Nurse Practitioner | Ear,nose and Throat Specialists, L.L.C. | 102 Thomas Rd, Suite 117, West Monroe, LA 71291-7365 |
| Alice J Fautheree | Nurse Practitioner | Physician Group of Louisiana Inc | 102 Thomas Rd, Suite 107, West Monroe, LA 71291-7365 |
| Robert D Marx | Urology | 102 Thomas Rd, Suite 108, West Monroe, LA 71291-7365 | |
| Lauren Mickey | Otolaryngology | Ear,nose and Throat Specialists, L.L.C. | 102 Thomas Rd, Suite 117, West Monroe, LA 71291-7365 |
| Assad H Mouhaffel | Cardiovascular Disease (cardiology) | 102 Thomas Rd, Suite 103, West Monroe, LA 71291-7365 | |
| David Gardner | Podiatry | Physician Group of Louisiana Inc | 102 Thomas Rd, Suite 107, West Monroe, LA 71291-7365 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | WEST MONROE + HEMATOLOGY/ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.