DR. NICOLE MARIE GALLAGHER (NPI# 1376957399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376957399 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE GALLAGHER |
| Credential | M.D. |
| Practice Address |
29751 Little Mack Ave Ste B Roseville MI 48066-6504 |
| Mailing Address |
330 Barclay Ave Ne Ste 304 Grand Rapids MI 49503-2527 |
| Practice Telephone | 5864156200 |
| Practice Fax Number | 5864156217 |
| Mailing Telephone | 6163912160 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301105285 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114387875 | Nicole Gallagher | Counselor | 851 Albany Ave, Ventura, CA 93004-2371 | 2016-02-24 |
| 1407089139 | Nicole Gallagher | Specialist | 7370 Kingsgate Way, West Chester, OH 45069-2486 | 2009-08-28 |
| 1013402171 | Nicole Ryan Gallagher | Speech-Language Pathologist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2018-06-29 |
| 1265972830 | Nicole Gallagher | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-03-02 |
| 1265839930 | Nicole Elizabeth Gallagher | Social Worker | 301 S Crapo St, Suite 100, Mt Pleasant, MI 48858-2941 | 2014-11-24 |
| 1245461490 | Nicole W Gallagher | Speech-Language Pathologist | 149 Sylvan St, Danvers, MA 01923-3564 | 2009-08-06 |
| Street Address |
29751 LITTLE MACK AVE STE B |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1821615006 | Kelsey Lynn Horek | Advanced Practice Midwife | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2020-07-03 |
| 1942759543 | Kelly A Lewis | Advanced Practice Midwife | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2016-09-25 |
| 1679956999 | Sara Haidar | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2015-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1497997928 | David Paul Caplan | Optometrist | 31720 Gratiot Ave., Roseville, MI 48066 | 2009-03-30 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1649537846 | Irwin A Herman | Obstetrics & Gynecology | 7372 Timberrose Way, Roseville, CA 95747-8302 | 2012-04-12 |
| 1407080799 | Andrea T Garland | Obstetrics & Gynecology | 2110 Professional Dr Ste 105, Roseville, CA 95661-3778 | 2009-05-14 |
| 1932378478 | Reem Basim Shakir | Obstetrics & Gynecology | 20769 E 13 Mile Rd, Roseville, MI 48066-4503 | 2008-02-28 |
| 1396857892 | Brian G Kelly | Obstetrics & Gynecology | 25959 Kelly Road, Suite B, Roseville, MI 48066 | 2006-08-31 |
| 1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1366419491 | Associates In Womens Health Care | Obstetrics & Gynecology | 5 Medical Plaza Dr Ste 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1861467615 | Rita Biesen-bradley, M.d., Inc. | Obstetrics & Gynecology | 8207 Sierra College Blvd, 500, Roseville, CA 95661-9407 | 2006-02-22 |
| 1184618654 | Melissa Ann Johnson | Obstetrics & Gynecology | 3 Medical Plaza Dr Ste 260, Roseville, CA 95661-3089 | 2005-09-09 |
| 1831549823 | Minder Kaur Bal | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2016-06-21 |
| Find all providers in ROSEVILLE | ||||
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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.