Individual provider Active NPI

Kathy Lynne Galla-Elizeus, M.D.

  • Obstetrics & Gynecology Physician
  • Norwalk, OH
National Provider Identifier
1023028008
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.135465 Issued in OH
Practice address
38 Executive Dr
Norwalk, OH 44857
Phone
(419) 660-2980
Fax
(419) 660-2985
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD063871L PA
Obstetrics & Gynecology Physician 207V00000X 35.135465 OH Primary

Addresses

Primary practice location

38 Executive Dr
Norwalk, OH 44857

Mailing address

38 Executive Dr
Norwalk, OH 44857-2480
Phone (419) 660-2980

Other practice location 1

145 Hospital Ave
Du Bois, PA 15801-1462
Phone (814) 371-6172

Other practice location 2

2108 St Rt 113 E
Milan, OH 44846-9483
Phone (419) 499-2600

Other practice location 3

315 Crestwood Dr
Willard, OH 44890-1652
Phone (419) 935-0196

Other practice location 4

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8000

Other identifiers 1

IdentifierTypeStateIssuer
0338195MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000004 PA Practitioner - Obstetrics/Gynecology 6709780844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jan 18, 2021 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 18, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
University of Pittsburgh Physicians Past Accepting new patients

Locations

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: kgallaelizeus165027@direct-guthrie.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1023028008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572480",
            "telephone_number": "419-660-2980",
            "fax_number": "419-660-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "44857",
            "telephone_number": "419-660-2980",
            "fax_number": "419-660-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011462",
            "country_code": "US",
            "telephone_number": "814-371-6172",
            "fax_number": "814-371-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 St Rt 113 E",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "OH",
            "postal_code": "448469483",
            "country_code": "US",
            "telephone_number": "419-499-2600",
            "fax_number": "419-499-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Crestwood Dr",
            "address_purpose": "LOCATION",
            "city": "Willard",
            "state": "OH",
            "postal_code": "448901652",
            "country_code": "US",
            "telephone_number": "419-935-0196",
            "fax_number": "419-933-7616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303372",
            "country_code": "US",
            "telephone_number": "740-687-8000",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLA-ELIZEUS",
        "first_name": "KATHY",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD063871L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.135465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.