Michael James Galvin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301038197 Issued in MI

Practice address

3535 Park St
Suite 101
Muskegon, MI 49444-3736

Phone

(231) 739-2121

Fax

(231) 739-4130

NPI assigned

Aug 15, 2005

Last updated

Feb 21, 2013By 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Port City Pediatrics

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1558413245
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1386646883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 CARTER DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414416",
            "telephone_number": "231-780-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-2121",
            "fax_number": "231-739-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301038197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4498641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Gabert, PHARMD
• Magdalena Gadomski, MSW
• Abigail Lynn Gagnon, AT, ATC, CFO
• Tony Gale Butto, DO
• Suzanne Marie Galloway, M.D.
• Gamet Chiropractic LLC
• Gene W Gamet, D.C.
• Jodie L Gamm, PA
• Sripriya Ganesan
• Kassandra Marie Gansen, LLMSW

• Pediatrics Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.