COLLEEN L GALLIMORE PAC NPI 1346220415

NPI Information

  • NPI: 1346220415
  • Provider Name: COLLEEN L GALLIMORE, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 W GORE BLVD
    LAWTON, OK
    ZIP 73505
  • Phone: (580) 357-4339

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NPI Details

Colleen L Gallimore, PAC is a surgical physician assistant in Lawton, OK with 21 years of experience. Colleen L Gallimore, PAC NPI is 1346220415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 W GORE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 357-4339
Fax: (580) 357-4423

The NPI 1346220415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 1/17/2006 and was last updated on 8/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalAPA1505OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200073860AMEDICAIDOKLAHOMA
2245604402MEDICARE PINOKLAHOMA
3Q63423MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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