Gallery Medical Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22701 Issued in OK

Legal business name

GALLERY MEDICAL FAMILY CLINIC

Practice address

2801 NW 23Rd St
Oklahoma City, OK 73107-2213

Phone

(405) 602-2525

Fax

(405) 602-2585

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Matthew James Haag, M.D.NPI 1417048737

Title

Medical Director

Phone

(405) 602-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Matthew James Haag, M. D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1417048737
  Medicare reassignment NPD Authorized official
• Hillary White, ARNP

  • Registered Nurse
  • Oklahoma City, OK
  • NPI 1992127310
  Medicare reassignment NPD
• Shaylee Alexandria Rowe

  • Family Nurse Practitioner
  • Centennial, CO
  • NPI 1790341196

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1134413537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072213",
            "telephone_number": "405-602-2525",
            "fax_number": "405-602-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072213",
            "telephone_number": "405-602-2525",
            "fax_number": "405-602-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY MEDICAL FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-602-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "22701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Gallaspy, MD
• Jay Richard Gallegly, MS, ATC/L
• Edward Gallegos
• Loahn Kelley Gallegos, MD
• Rachel Ray-Anne Gallegos, LMT
• Natalie Gallo, LPC
• Brianna Nicole Gallon, PT, DPT
• Bonnie Jo Gallop, P.T.
• Hillarie Nichole Galloway, LCSW
• Ashley Perle Galsky, PHD

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.