Liam Connor Galloway, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9117473 Issued in FL

Practice address

877 111TH Ave N Ste 1
Naples, FL 34108-1853

Phone

(239) 594-8002

Fax

(877) 334-1886

NPI assigned

Nov 28, 2022

Last updated

Jun 13, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: liamgalloway@nsapl.allscriptsdirect.net

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.

• Neuroscience and Spine Associates PL

  • Specialist
  • Naples, FL
  • NPI 1811177298
  Medicare reassignment NPD
• Neuroscience and Spine Associates

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1922578566
  NPD
• Neuroscience and Spine Associates PL

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1023847563
  NPD
• Neuroscience and Spine Associates PL

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1669536645
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1366152795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081853",
            "telephone_number": "239-594-8002",
            "fax_number": "877-334-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "LIAM",
        "middle_name": "CONNOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9117473",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Anthony Gallo, M.D.
• Kelly Gallo, WHNP-BC
• Richard Anthony Gallo
• Michael Randall Gallops, M.D.
• Joshua David Galloway, APRN
• Suzan M Gallucci, M.S., LMHC, BC-TMH
• Dianne Marie Galup, M.A., LMHC
• Mia Gamayo, RBT
• Suset Gamboa
• Camila Andrea Gamez Young

• Surgical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.