Galvez Doctors Clinic, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

09539R Issued in LA

Legal business name

GALVEZ DOCTORS CLINIC, INC

Practice address

1407 Piety St
New Orleans, LA 70117-6035

Phone

(504) 940-0820

Fax

(504) 466-6209

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Theresa Peters Fisher

Title

Ceo Administrator

Phone

(504) 940-0820

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna M Quinn-Stevenson, FNP

  • Family Nurse Practitioner
  • Kenner, LA
  • NPI 1467457481
  NPD (past)
• Kenneth Lemoyne Wiley Sr., M.D.

  • Internal Medicine Physician
  • Saint Rose, LA
  • NPI 1952515983
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073569117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 PIETY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176035",
            "telephone_number": "504-940-0820",
            "fax_number": "504-466-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 PIETY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176035",
            "telephone_number": "504-940-0820",
            "fax_number": "504-466-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVEZ DOCTORS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "PETERS",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "504-940-0820"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "09539R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mashanna Gallo, LPC
• Julie Baham Gallois
• Ashley Justin Galloway, CRNA
• Aleksis Galloza, MD
• Carlos Galvani, M.D.
• Galvez Personal Care Services
• Galvez Personal Care Services, Inc.
• Galvez Personal Care Services,Inc (Galvez Personal Care Services)
• Galvez Personal Care Services,Inc (Galvez Personal Care Services)
• Alexandra C Gambino, OTR/L

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.