Active NPI
Paula Elizabeth Galloway, DO
- Surgery Physician
- Weston, WV
National Provider Identifier
1235115619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2666
- Practice address
- 66 Hospital PLZ
Suite 102
Weston, WV 26452-8552 - Phone
- (304) 269-6004
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34007682 | OH | |
| Surgery Physician | 208600000X | DO0000001955 | TN | |
| Surgery Physician | 208600000X | 6118 | AK | |
| Surgery Physician | 208600000X | 2666 | WV | Primary |
Addresses
Primary practice location
66 Hospital PLZ
Suite 102
Weston, WV 26452-8552
Mailing address
66 Hospital PLZ
Suite 102
Weston, WV 26452-8558
Phone (304) 269-6004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507607 | Medicaid | TN | |
| 5910329 | Medicaid | NC |
Other names 1
- Paula Elizabeth Anderson
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007682 | OH | MD | Surgery Physician |
| DO0000001955 | TN | MD | Surgery Physician |
| 2666 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1235115619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLZ",
"address_2": "SUITE 102",
"city": "WESTON",
"state": "WV",
"postal_code": "264528558",
"telephone_number": "304-269-6004",
"fax_number": "304-269-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLZ",
"address_2": "SUITE 102",
"city": "WESTON",
"state": "WV",
"postal_code": "264528552",
"telephone_number": "304-269-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "PAULA",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34007682",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "DO0000001955",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "6118",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "2666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507607",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910329",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "ANDERSON",
"middle_name": "ELIZABETH",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.