Active NPI
David B. Galluch, MD,LLC
- Orthopaedic Surgery Physician
- Springfield, OH
National Provider Identifier
1497852750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35086227
- Legal business name
- DAVID B. GALLUCH, MD,LLC
- Practice address
- 30 W McCreight Ave
Suite 109
Springfield, OH 45504-1842 - Phone
- (937) 398-1066
- Fax
- (937) 398-1076
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David B Galluch, M.D.
- Title
- MD,LLC
- Phone
- (937) 398-1066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35086227 | OH | Primary |
Addresses
Primary practice location
30 W McCreight Ave
Suite 109
Springfield, OH 45504-1842
Mailing address
30 W McCreight Ave
Suite 109
Springfield, OH 45504-1842
Phone (937) 398-1066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2664175 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
30 W McCreight Ave
Ste 109
Springfield, OH 45504
Phone (937) 398-1066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497852750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE",
"address_2": "SUITE 109",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041842",
"telephone_number": "937-398-1066",
"fax_number": "937-398-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE",
"address_2": "SUITE 109",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041842",
"telephone_number": "937-398-1066",
"fax_number": "937-398-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID B. GALLUCH, MD,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GALLUCH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MD,LLC",
"authorized_official_telephone_number": "937-398-1066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35086227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2664175",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.