Gwendolyn Galasso, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD042720E Issued in PA

Practice address

2888 Sr 29 S Ste 1
Monroe-Noxen Health Center
Monroe Township, PA 18636-7854

Phone

(570) 298-2121

Fax

(570) 298-2148

NPI assigned

Oct 26, 2006

Last updated

Sep 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1437351640

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1144305467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 ROUTE 315",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-825-8741",
            "fax_number": "570-825-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 SR 29 S STE 1",
            "address_2": "MONROE-NOXEN HEALTH CENTER",
            "city": "MONROE TOWNSHIP",
            "state": "PA",
            "postal_code": "186367854",
            "telephone_number": "570-298-2121",
            "fax_number": "570-298-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "GWENDOLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042720E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bowen, PHDH
• Butler Vamc
• Yasser Iskandarani, DMD
• Hemali B Javia, D.D.S.
• Martin D McMahon, D.M.D.
• Maureen Reid, MA, LPC, NCC
• Rural Health Corporation of Northeastern Pennsylvania (Monroe-Noxen Health Center)

• Family Medicine Physician in Monroe Township, PA
• Providers in Monroe Township, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.