James David Gallant, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD12529 Issued in OR

Practice address

1128 NE 2ND St Ste 101
Corvallis, OR 97330-6251

Phone

(541) 758-0766

Fax

(541) 753-2737

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Valley Clinics

  • Primary Care Clinic/Center
  • Corvallis, OR
  • NPI 1457842833

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144238551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306251",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306251",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD12529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22708-2",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek J Gale, LPC
• Angie Marie Gallagher
• Christine Dawn Gallagher
• James C Gallagher, PT
• Matthew Brett Gallagher, M.S.
• Marissa Alexandra Gallegos, THW DOULA
• Lara Jae Gamelin, M.D.
• Sergio Gamez
• Maria De la Luz Gamino
• Raianne Marie Gamma

• Internal Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.