Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285663658 Individual Practitioner Female Practitioner

Dr. Gayle Ann Harrison , MD

Pediatrics • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dr. Gayle Harrison, MD is a registered healthcare professional specializing in Pediatrics in Gallup, NM. Practice services are available at 2111 COLLEGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 College Dr

Gallup, NM 873015600

Telephone 5058631820
Fax 5058631898
Associated Practice Facility / Clinic
🏢 Gallup Community Health Facility NPI 1336807254

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Gallup, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD19928

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A60050

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA MD00035594

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SD 7590

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WY 81831

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM MD20090692

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
150718 (OR)
Commercial Insurance / Payer ID Blue Cross
858597000 (OR)
Commercial Insurance / Payer ID Employer Id
9305053253002 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Sher Ali Khan , MD

Preventive Medicine - Addiction Medicine

NPI 1104372200

Doctor of Medicine (M.D.)

NPI 1104898063

Doctor of Medicine (M.D.)

Dr. Thomas Robinson , MD

Internal Medicine

NPI 1245202357

Doctor of Medicine (M.D.)

Sanaa Baker , FAMILY NURSE PRACTIT

Nurse Practitioner - Family

NPI 1245805761

FAMILYNURSEPRACTIT

Judy Liesveld , CNP

Nurse Practitioner

NPI 1295707651

Certified Nurse Practitioner

Antonia Hernandez , CPNP, RN

Nurse Practitioner - Pediatrics

NPI 1306215926

Certified Pediatric Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2010

Registered at 2111 COLLEGE DR, GALLUP, NM 873015600 (Tel: 5058631820)

📍
Updated Business Mailing Address March 22, 2010

Registered at 6440 SOUTH MILLROCK DRIVE, SUITE 175, SALT LAKE CITY, UT 84121

👤
Provider Name / Credentials Updated March 22, 2010

Recorded as GAYLE HARRISON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

Pediatrics (License #MD19928 in OR)

🟢
Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285663658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: March 22, 2010
Sole Proprietor: No

Mailing Address

6440 South Millrock Drive, Suite 175

Salt Lake City, UT 84121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.