KENNETH EDWARD GALLAGHER (NPI# 1063512598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063512598 |
| Entity Type | Individual |
| Full Name | KENNETH EDWARD GALLAGHER |
| Credential | MD |
| Practice Address |
441 N Wabash Ave Marion IN 46952-2612 |
| Mailing Address |
Po Box 11588 Fort Wayne IN 46859-1588 |
| Practice Telephone | 7656624648 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01050309 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
441 N WABASH AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895081 | Marion General Radiology, Inc. | Radiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2005-07-19 |
| 1972152114 | Amber Banks | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-09-10 |
| 1003463019 | Robert Joseph Simmons | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-08-23 |
| 1992265904 | Mary Jacqueline Wharton | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-03-25 |
| 1609331016 | Anna Lois Mccullough | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-02-10 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| 1639641426 | Claire D Faia | Nurse Anesthetist, Certified Registered | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-18 |
| 1912482332 | Marion General Hospital | Emergency Medicine | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-10-02 |
| 1134617228 | Jennifer Gelhaus | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-04-25 |
| 1760996375 | Carolyn Sue Smith | Registered Nurse | 441 N Wabash Ave, Marion, IN 46952-2612 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848601 | David Timothy Rice | Pathology | 1128 Snider St, Marion, VA 24354-4216 | 2005-06-01 |
| 1811515984 | Medcore Diagnostics LLC | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2020-07-06 |
| 1518478122 | Gopath Pathology Group, LLC | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2017-10-23 |
| 1821259839 | Dean B. Ricks, Md PC | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2008-06-23 |
| 1407047913 | Karna Del Colby | Pathology | 3333 W Deyoung St, Marion, IL 62959-5884 | 2007-08-08 |
| 1043439011 | Susan J Rogers | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2007-04-25 |
| 1508910738 | Dean B Ricks | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2007-01-23 |
| 1417967407 | Hugh Kenneth Lancaster Jr. | Pathology | 2401 W Main St, Pathology (113), Marion, IL 62959-1188 | 2006-08-09 |
| 1588685481 | Rulong Ren | Pathology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2006-07-23 |
| 1457385965 | Niranjan T Shah | Pathology | 1050 Delaware Ave, Marion, OH 43302-6416 | 2006-07-10 |
| Find all providers in MARION | ||||
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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.