Harold L. Gallick, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301046935 Issued in MI

Practice address

38800 Garfield Rd
Suite 100
Clinton Township, MI 48038-6618

Phone

(586) 286-6900

Fax

(586) 286-6960

NPI assigned

Dec 11, 2007

Last updated

Apr 19, 2013By the provider in NPPES

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hgallick207737@direct.hfhs.org

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.

• St Clair Cardiovascular Surgeons PLC

  • Cardiovascular Disease Physician
  • Roseville, MI
  • NPI 1194714980
  NPD (past)
• St. Clair Cardiovascular Surgeons, PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Port Huron, MI
  • NPI 1922275312
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1275716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 GARFIELD RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386618",
            "telephone_number": "586-286-6900",
            "fax_number": "586-286-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 GARFIELD RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386618",
            "telephone_number": "586-286-6900",
            "fax_number": "586-286-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLICK",
        "first_name": "HAROLD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301046935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4323144",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Gafner, CRNA
• Mark Gaied, PT, DPT, M.S.
• Marvin Ray Gaines
• Juliet Gaisey, M.D.
• Michael Anthony Gajewski, DDS
• Taylor Galster
• Divyakant B Gandhi, MD
• Nakul Gandhi, DO
• Lauren Gangwer
• Sahar M Gappy, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.