MR. KEITH JAMES GALLAHER (NPI# 1649374745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649374745 |
| Entity Type | Individual |
| Full Name | MR. KEITH JAMES GALLAHER |
| Credential | MD |
| Practice Address |
1638 Owen Drive Fayetteville NC 28302 |
| Practice Telephone | 9102231339 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
38945 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 893437E | 05 | |
| BCBS | 3437E | 01 |
| Street Address |
1638 OWEN DRIVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205863297 | Cape Fear Neonatology | Specialist | 1638 Owen Drive, Fayetteville, NC 28302 | 2006-06-27 |
| 1205458510 | Emily Elizabeth Olinger | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-05-08 |
| 1780206102 | Ogar Ogar | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-05-07 |
| 1548881493 | Babar Afridi | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-05-01 |
| 1043831274 | Prutha Patel | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-28 |
| 1922629245 | Daniel Scott Barrack | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-27 |
| 1396364220 | Azad Neupane | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-10 |
| 1104445139 | Antonios Anagnostopoulos | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-04-09 |
| 1447889613 | Alicia Toncar | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-04-08 |
| 1982232203 | Christopher Davis | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005270 | Brittany Lee Howard | Physician Assistant | 2864 Woodruff Street, Fort Bragg, NC 28302 | 2016-10-27 |
| 1952619082 | Highsmith Rainey Hospital | Long Term Care Hospital | 150 Robeson Street, Fayetteville, NC 28302 | 2010-09-23 |
| 1346422284 | Tawnia Hope Smith | Audiologist | Cape Fear Valley Health System, 1638 Owen Dr., Fayetteville, NC 28302 | 2007-12-03 |
| 1750485959 | Hugh Scott Cameron | Specialist | 1638 Owen Dr, Fayetteville, NC 28302 | 2006-09-11 |
| 1992809065 | Thomas Arthur Ciszek | Pediatrics | 1638 Owen Dr, Fayetteville, NC 28302 | 2006-09-11 |
| 1255754719 | Phanindar Reddy Sadhu | Internal Medicine | Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 | 2014-02-03 |
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260498 | Kristine Palmer | Pediatrics | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2006-10-18 |
| 1407951858 | Jan Marie Carter | Pediatrics | 1638 Owen Drive, Fayetteville, NC 28302 | 2006-09-13 |
| 1992809065 | Thomas Arthur Ciszek | Pediatrics | 1638 Owen Dr, Fayetteville, NC 28302 | 2006-09-11 |
| 1346294154 | Washington Regional Medical System | Pediatrics | 3215 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-19 |
| 1083667232 | Matthew G Cheadle | Pediatrics | 3215 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396181764 | Erin Elizabeth Hayes Orth | Pediatrics | 1121 North Church Street, Greensboro, NC 27401 | 2013-05-13 |
| 1518202969 | Ronald Paul Gregoire | Pediatrics | 207 Cabbage Inlet Ln, Wilmington, NC 28409-3004 | 2012-12-11 |
| 1225396690 | Wesley Matthew Jackson | Pediatrics | 5801 Mountain Island Dr, Durham, NC 27713-8909 | 2012-04-24 |
| 1982915179 | Jennifer Lee Nash Holman | Pediatrics | Wfsm Department of Pediatrics, Medical Center Boulevard, Winston Salem, NC 27157-1081 | 2010-06-23 |
| 1306023742 | Scott Allan Witt | Pediatrics | Duke University Medical Center Department of Pediatrics, Dumc Box 3179, Durham, NC 27710-0001 | 2008-01-29 |
| 1386827335 | Piedmont Neonatology PC | Pediatrics | 628 Green Valley Road, Suite 210, Greensboro, NC 27408-7789 | 2007-12-13 |
| 1508959420 | Neonatology Services of Hickory, Pllc | Pediatrics | 352 2nd St. Nw, Suite #205, Hickory, NC 28601 | 2006-10-02 |
| 1104840248 | Roy Schneiderman | Pediatrics | 655 Lake Dornoch Drive, Pinehurst, NC 28374-7135 | 2006-07-26 |
| 1588617948 | Usha Doshi | Pediatrics | 101 Maynard Crossing Ct, N/a, Cary, NC 27513-8723 | 2006-05-18 |
| 1689634792 | Christie C. Davanzo | Pediatrics | 628 Green Valley Rd, Suite 210, Greensboro, NC 27408-7730 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28302 |
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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.