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JAMES W GALLAGHER DPM NPI 1629117411


NPI Information

NPI: 1629117411
Provider Name: JAMES W GALLAGHER DPM

Doing Business As: SUPERIOR FOOT & ANKLE

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1414 W FAIR AVE STE 290
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-4782
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JAMES W GALLAGHER DPM is a primary podiatric medicine podiatrist in Marquette, MI. JAMES W GALLAGHER DPM NPI is 1629117411. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Superior Foot & Ankle.

The provider's business location address is:

1414 W FAIR AVE STE 290
MARQUETTE, MI
ZIP 49855-683
Phone: (906) 225-4782
Fax: (906) 225-7835

The provider's authorized official is Heather L Frustaglio .
The authorized official title is Office Manager and has the following contact phone number (906) 225-4782.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.


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
1213EP1101XPodiatristPrimary Podiatric Medicine5901001221MICHIGANYes
2213ES0000XPodiatristSports Medicine5901001221MICHIGANX
3213ES0131XPodiatristFoot Surgery5901001221MICHIGANX

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
14393452MEDICAIDMICHIGAN

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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