Active NPI
Richard Parnell Galloway, MD
- General Practice Physician
- Ione, CA
National Provider Identifier
1114109568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G62656
- Practice address
- 4001 Highway 104
Ione, CA 95640-0000 - Phone
- (209) 274-4911
- NPI assigned
- Nov 28, 2007
- Last updated
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G62656 | CA | Primary |
Addresses
Primary practice location
4001 Highway 104
Ione, CA 95640-0000
Mailing address
4001 Highway 104
Ione, CA 95640
Phone (209) 274-4911
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62656 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1114109568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 HIGHWAY 104",
"city": "IONE",
"state": "CA",
"postal_code": "95640",
"telephone_number": "209-274-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 HIGHWAY 104",
"city": "IONE",
"state": "CA",
"postal_code": "956400000",
"telephone_number": "209-274-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "RICHARD",
"middle_name": "PARNELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G62656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ione, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.