Amanda J Galloway, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04716 Issued in TX

Practice address

9 Medical Pkwy
Plaza 4, Suite 301
Dallas, TX 75234-7858

Phone

(972) 247-5464

Fax

(185) 599-9924

NPI assigned

Jul 19, 2006

Sex

Female

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

Enrolled in TX

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry M. Prost, MD PLLCGroup PAC ID 4284665498, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.galloway@796.securemail.mdnavigatorclinical.com
• Direct secure messaging: dmcagallo@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry M. Prost, MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Colleyville, TX
  • NPI 1659300549
  Medicare reassignment Care Compare group
• Dallas Medical Physician Group

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1033551312

  Physician Assistant

  Medicare reassignment NPD
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1396764148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4, SUITE 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-247-5464",
            "fax_number": "185-599-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4, SUITE 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-247-5464",
            "fax_number": "185-599-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183281801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemi Gallegos, APCC
• Phillip Gallegos, MD
• Kathleen E Gallerano, DPT
• Edidiong Galles, P.A.
• Shauna Markus Gallian, CRNA
• James B Galloway, MD
• Laura Jean Galloway, MD
• Syratta Galloway, NURSE PRACTITIONER
• Giuseppe Gallucci, R.PH.
• Haidy Ibrahim Gohar Galous, MD

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.