Individual provider Active NPI

Dennis J Galvon, M.D.

  • Family Medicine Physician
  • Gig Harbor, WA
National Provider Identifier
1295862159
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041644 Issued in WA
Practice address
4423 Point Fosdick NWDR 212
Gig Harbor, WA 98335-1794
Phone
(253) 851-8545
Fax
(253) 851-8644
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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 MD00041644 WA Primary

Addresses

Primary practice location

4423 Point Fosdick NWDR 212
Gig Harbor, WA 98335-1794

Mailing address

4423 PT Fosdick Dr NW Ste 212
Gig Harbor, WA 98335-1794
Phone (253) 851-8545

Other identifiers 2

IdentifierTypeStateIssuer
7367234OtherVAAETNA
MD00041644OtherWAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060324000211 WA Practitioner - Family PracticePractitioner - General Practice 7911915491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Calgary, Faculty of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4423 Point Fosdick Dr
Suite 212
Gig Harbor, WA 98335-1794

4423 Point Fosdick NWDR
Suite 212
Gig Harbor, WA 98335-1794

Hospital & facility affiliations

  • Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dennis Galvon Family Medicine CurrentSince Sep 25, 2024 Accepting new patients
South Hill General Medical Clinic PastSince Oct 10, 2015 Accepting new patients

Locations

4423 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-8545

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.

Hospital & facility affiliations 6

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1295862159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PT FOSDICK DR NW STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "253-851-8545",
            "fax_number": "253-851-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK NWDR 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "253-851-8545",
            "fax_number": "253-851-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVON",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7367234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD00041644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.