Oliver Custodio Galita, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0056769 Issued in MD

Practice address

9011 Chevrolet Drive
Stes 1-6
Ellicott City, MD 21042-4024

Phone

(410) 465-7550

Fax

(410) 465-7085

NPI assigned

Apr 26, 2006

Last updated

Sep 18, 2012By 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

Practice roles

Locations

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.

• Ellicott City Pediatric Assoc

  • Pediatrics Physician
  • Ellicott City, MD
  • NPI 1831152727
  NPD Authorized official
• Ellicott City Pediatric Associates, PA

  • Mental Health Counselor
  • Ellicott City, MD
  • NPI 1861119117
  NPD Authorized official
• Caton Emergency Physicians

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1003829953
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Maryland Provo-I Medical Services, PC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1013002096
  NPD (past)
• Yardmore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1730131657
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1346206489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 CHEVROLET DRIVE",
            "address_2": "STES 1-6",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424024",
            "telephone_number": "410-465-7550",
            "fax_number": "410-465-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 CHEVROLET DRIVE",
            "address_2": "STES 1-6",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424024",
            "telephone_number": "410-465-7550",
            "fax_number": "410-465-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALITA",
        "first_name": "OLIVER",
        "middle_name": "CUSTODIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0056769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812402700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Alexis Fulton-Delong, LCPC, NCC
• Emily Wareheim Fultz, RDN, LDN
• Hannah Elizabeth Furlow, LGPC
• Kelsey Furstenberg, CRNP
• Olubunmi Gahie, NP
• Ann Marie Gallagher, OD
• Jennifer Gallagher, MS, CCC-SLP
• Sarah Elizabeth Ganginis Schaeffer, RD,LDN
• Gangnam Style Acupuncture
• Cathy Xiang Gao, M.D.

• Pediatrics Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.