Individual provider Active NPI

Forest Galloway

  • Family Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1285339192
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.156478 Issued in OH
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

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003151 OH Order and Referring Only - Family PracticePractitioner - Family Practice 8426407537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35.156478OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Family Practice Centers, Inc PastSince Jan 1, 2004 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.

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

Verify at the official NPI Registry.