Ryan Patrick Gallagher (NPI# 1871091207, PAC ID# 6204190317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871091207 |
| PAC ID by PECOS | 6204190317 |
| Professional Enrollment ID | I20180425002214 |
| Full Name | Ryan Patrick Gallagher |
| Organization Legal Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Address |
610 Washington St Horicon WI 53032-1552 |
| Phone Number | 9206437170 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567370539 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520076 | BEAVER DAM COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S University Ave, Beaver Dam, WI 53916-3027 | 9208877181 | BEAVER DAM COMMUNITY HOSPITALS INC |
| 610 Washington St, Horicon, WI 53032-1552 | 9206437170 | BEAVER DAM COMMUNITY HOSPITALS INC |
| Organization Legal Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa M Huber | Physician Assistant | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Cheryl Lea Butler | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| Holly Ann Graber | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 420 W N St, Juneau, WI 53039-1165 |
| Bhanu Paladugu | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Patrick A Leonberger | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Lori Claire Lee | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Joseph M Puccinelli | Orthopedic Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Marc Andrew Young | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Jennifer L Woldt | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Judy A Macdonald | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Street Address |
610 WASHINGTON ST |
| City | HORICON |
| State | WI |
| Zip | 53032-1552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Lea Butler | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| Andrew M Guminski | Internal Medicine | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Eidem | Chiropractic | 514 E Lake St, Horicon, WI 53032-1265 |
| City | HORICON |
| Zip Code | 53032 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HORICON + PHYSICIAN ASSISTANT |
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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.