Individual provider Active NPI

Leandro P Galang, MD

  • Family Medicine Physician
  • Belpre, OH
National Provider Identifier
1104813922
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35086100 Issued in OH
Practice address
407 Main St Ste 2
Belpre, OH 45714-1615
Phone
(740) 315-5706
Fax
(740) 388-1665
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10811 WV
Family Medicine Physician 207Q00000X 35086100 OH Primary

Addresses

Primary practice location

407 Main St Ste 2
Belpre, OH 45714-1615

Mailing address

407 Main St Ste 2
Belpre, OH 45714-1615
Phone (740) 315-5706

Other identifiers 2

IdentifierTypeStateIssuer
0055445000MedicaidWV
0991940MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Quickcare Inc Current Accepting new patients

Locations

517 36th St
Parkersburg, WV 26101
Phone (304) 485-0406

417 Grand Park Dr
Ste 103
Parkersburg, WV 26105
Phone (304) 485-2700

3605 Murdoch Ave
Parkersburg, WV 26101

Interoperability endpoints

  • Direct secure messaging: leandro.galang@400193043890180.direct.elationemr.com
  • Direct secure messaging: leandro.galang@mmhs.medicity.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1104813922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MAIN ST STE 2",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141615",
            "telephone_number": "740-315-5706",
            "fax_number": "740-388-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MAIN ST STE 2",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141615",
            "telephone_number": "740-315-5706",
            "fax_number": "740-388-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANG",
        "first_name": "LEANDRO",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "10811",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35086100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055445000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0991940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.