Individual provider Active NPI

Gloria M Galloway, MD

  • Neurology Physician
  • Newark, OH
National Provider Identifier
1265433635
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.074941 Issued in OH
Practice address
150 McMillen Dr
Newark, OH 43055-1811
Phone
(220) 564-7985
Fax
(220) 564-7986
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 35074941 OH
Neurology Physician 2084N0400X 35.074941 OH Primary

Addresses

Primary practice location

150 McMillen Dr
Newark, OH 43055-1811

Mailing address

150 McMillen Dr
Newark, OH 43055-1811

Other identifiers 2

IdentifierTypeStateIssuer
2091463MedicaidOH
64961220MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggalloway29993@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000003 OH Practitioner - NeurologyPractitioner - Pediatric Medicine 4688691546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians

Practice addresses (Care Compare)

150 McMillen Dr
Newark, OH 43055-1811
Phone (220) 564-4827

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.074941OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Health Professionals Current Accepting new patients
Licking Memorial Professional Corporation CurrentSince Oct 5, 2022 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Oct 5, 2022 Accepting new patients
Pediatric Academic Association, Inc. Past Accepting new patients
Osu Neuroscience Center, LLC Neurology Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Osu Neuroscience Center LLC Neurology Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

150 McMillen Dr
Newark, OH 43055
Phone (220) 564-7985

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

Interoperability endpoints

  • Direct secure messaging: gloria.galloway.1@19222.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1265433635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551811",
            "telephone_number": "220-564-7985",
            "fax_number": "220-564-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "GLORIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "35074941",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.074941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091463",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64961220",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggalloway29993@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "150 McMillen Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.