RICHARD GRANT GALLAHER (NPI# 1770583775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583775 |
| Entity Type | Individual |
| Full Name | RICHARD GRANT GALLAHER |
| Credential | M.D. |
| Practice Address |
401 E Main St Johnson City TN 37601-4877 |
| Practice Telephone | 4237222057 |
| Practice Fax Number | 4235425109 |
| Mailing Telephone | 4234310512 |
| Mailing Fax Number | 4237222060 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 10359 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3007996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376634345 | Richard Ballou Gallaher Jr. | Psychologist | 513 Thain Road, Lewiston, ID 83501-4140 | 2006-09-27 |
| Street Address |
401 E MAIN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566824 | Bendik Clark | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2005-05-31 |
| 1205437647 | Reazyn Demoss | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2020-11-03 |
| 1396386165 | Michelle Elizabeth Jenkins | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2019-10-03 |
| 1427529551 | Kayla Beining | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2018-12-16 |
| 1205357977 | Joshua William Buck | Nurse Practitioner | 401 E Main St, Johnson City, TN 37604-5747 | 2017-07-03 |
| 1063962959 | Olivia Mckayla Barnett | Occupational Therapy Assistant | 401 E Main St, Johnson City, TN 37601-4877 | 2016-10-04 |
| 1194274563 | Sharon Trager | Occupational Therapist | 401 E Main St, Johnson City, TN 37601-4877 | 2016-09-27 |
| 1255789889 | Myra Hale | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2016-05-24 |
| 1689032666 | Lindsay Alexis Cox | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601 | 2016-02-04 |
| 1417320953 | Deanna Hensley | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1922453190 | Rachel Michelle Lindsey | Pediatrics | 325 N State of Franklin Rd, Ground Floor, Etsu Physicians and Associates Pediatrics, Johnson City, TN 37604-6056 | 2016-04-25 |
| 1609261197 | Lauren Nichols Swift | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2015-04-01 |
| 1437579760 | Daniel P Armentrout | Pediatrics | 301 Med Tech Pkwy Ste 160, Johnson City, TN 37604 | 2014-04-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1558673434 | Himabindu Kasivajjula | Pediatrics | 639 Main Street, Johnson City, NY 13790 | 2010-07-08 |
| 1558428037 | Beth W Hapke | Pediatrics | 512 Reynolds Rd, Apt K12, Johnson City, NY 13790-1366 | 2007-01-03 |
| 1750461265 | Shasta B Helsel | Pediatrics | 301 Med Tech Pkwy Ste 180, Johnson City, TN 37604 | 2006-10-17 |
| 1497738041 | Samuel Boi Addo | Pediatrics | 269 Riverside Dr, Johnson City, NY 13790-2726 | 2005-11-28 |
| 1831184266 | Otto H.p. Teixeira | Pediatrics | 325 N State of Franklin Rd., Ground Floor, Johnson City, TN 37604-6062 | 2005-09-12 |
| 1083619118 | Jodi B Gage | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2005-06-16 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.