Organization Active NPI

David B. Galluch, MD,LLC

  • Orthopaedic Surgery Physician
  • Springfield, OH
National Provider Identifier
1497852750
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35086227 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2664175MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.