Steven Lee Galliway, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003407 Issued in MI

Practice address

2462 E Hill Rd Ste 2
Grand Blanc, MI 48439-5427

Phone

(810) 584-7957

Fax

(949) 695-4951

NPI assigned

May 23, 2006

Last updated

Jul 7, 2024By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Hometown Family Medicine and Urgent Care

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1942051842
  Medicare reassignment Authorized official
• Integrative Urgent Care PC

  • Urgent Care Clinic/Center
  • Grand Blanc, MI
  • NPI 1649949058
  NPD
• McLaren Medical Group

  • Internal Medicine Physician
  • Burton, MI
  • NPI 1659418663
  NPD
• Grand Blanc Medical Imaging, PLC

  • Diagnostic Radiology Physician
  • Grand Blanc, MI
  • NPI 1154581171
  NPD (past)
• Mdo Imaging Associates PLC

  • Diagnostic Radiology Physician
  • Flint, MI
  • NPI 1386684892
  NPD (past)
• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1346295094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD STE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395427",
            "telephone_number": "810-584-7957",
            "fax_number": "949-695-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD STE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395427",
            "telephone_number": "810-584-7957",
            "fax_number": "949-695-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4272 W Vienna Rd",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484209454",
            "country_code": "US",
            "telephone_number": "810-919-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIWAY",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003407",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "SG003407",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SG003407",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Gagne, LMSW
• Christina Gainer, DPT
• Osama Galal, M.D.
• Brice Galbraith, FNP-BC
• Melanie Gallego
• Allison Jenna Gallo, OTRL
• Jill Galsterer
• Rosalee Gammell, DO
• Renae Garcia
• Gracie Garfi-Sharber

• Medical Physician Assistant in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.