W H Gallimore DO PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

DO Issued in NV

Legal business name

W H GALLIMORE DO PLLC

Practice address

1500 Avenue H
Ely, NV 89301-2615

Phone

(775) 289-3001

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Labrecque

Title

Accts MGR

Phone

(702) 453-3799

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1528315066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 WILLOW CREEK RD",
            "address_2": "STE A103 BOX 245",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVENUE H",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012615",
            "telephone_number": "775-289-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W H GALLIMORE DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "DO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "005138",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE",
            "identifier": "DO1709",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Utah Adult Services (WILLIAM RIRIE HOSPITAL-Cardiology)
• University of Utah Adult Services (WILLIAM RIRIE HOSPITAL-EP Cardiology)
• Jesse W. Valadez, D.C.
• Marc C Van Tassell, D.D.S.
• Ha Viet Vu, MD
• Matthew F Walker, PHARMD
• Rosemarie Wallace
• Jessica Wayman
• Casie Ann Weaver
• Elliana Bibasari Webb, COTA

• Hospitalist Physician in Ely, NV
• Providers in Ely, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.