Gallows Internal Medicine, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101050013 Issued in VA

Legal business name

GALLOWS INTERNAL MEDICINE, INC.

Practice address

8408 Arlington Blvd
Fairfax, VA 22031-4608

Phone

(703) 462-8711

Fax

(703) 462-8719

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John K Min, M.D.

Title

Owner

Phone

70346218711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiho Min, MD

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1881649424

  DC, Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1356603401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 ARLINGTON BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314608",
            "telephone_number": "703-462-8711",
            "fax_number": "703-462-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 ARLINGTON BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314608",
            "telephone_number": "703-462-8711",
            "fax_number": "703-462-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWS INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "70346218711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Gallagher, MSW
• Karen J Gallagher, FNP
• Karen M Gallagher, DPT
• Maureen Gallagher, LCSW
• Mary-Stuart Gallian, D.M.D
• Saurabh Gambhir, M.D.
• Yelena Game, PA
• Lynne Marie Gamon
• Sachin Gandhi, M.D.
• Lisa Garber, PT

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.