Active NPI
Forest Galloway
- Family Medicine Physician
- Fairlawn, OH
National Provider Identifier
1285339192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.156478
- Practice address
- 3009 Smith Rd Ste 200
Fairlawn, OH 44333-2670 - Phone
- (330) 836-8471
- NPI assigned
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.156478 | OH | Primary |
Addresses
Primary practice location
3009 Smith Rd Ste 200
Fairlawn, OH 44333-2670
Mailing address
3515 Massillon Rd Ste 300
Green, OH 44685-7854
Phone (234) 204-5150
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231214003151 | OH | Order and Referring Only - Family Practice | 8426407537 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.156478 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Family Practice Centers, Inc | Past | Accepting new patients | |
| Pioneer Physicians Network, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Fairlawn, OH
- NPI 1598969214
-
- Family Medicine Physician
- Uniontown, OH
- NPI 1851354633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1285339192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 MASSILLON RD STE 300",
"city": "GREEN",
"state": "OH",
"postal_code": "446857854",
"telephone_number": "234-204-5150",
"fax_number": "330-634-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 SMITH RD STE 200",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332670",
"telephone_number": "330-836-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "FOREST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-31",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.156478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.