Donald N. Gallup Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20942 Issued in OR

Practice address

3388 Pacific Blvd SW
Albany, OR 97321-7707

Phone

(541) 758-0766

Fax

(541) 753-2737

NPI assigned

Jun 26, 2006

Last updated

Sep 24, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corvallis Internal Medicine, PC

  • Internal Medicine Physician
  • Corvallis, OR
  • NPI 1710172622
  NPD
• Firstcare Medical Foundation

  dba Samaritan Medical Clinics

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)
• Good Samaritan Hospital Corvallis

  dba Samaritan Orthopedics-Luis Vela, DO

  • Durable Medical Equipment & Medical Supplies
  • Corvallis, OR
  • NPI 1477851186
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1568499663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 PACIFIC BLVD SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217707",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 NW Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973302111",
            "country_code": "US",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "DONALD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R223876",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donaldgallup@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "981 NW Spruce Ave",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973302111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward P. Frothingham, M.D.
• Teresa Lynn Fuentes, CRM
• Satyajeet Y Gaekwad, M.D.
• Molly Gage, LCSW
• Stephanie Galford
• Jaylin Gann
• Emily Garcia, DOULA
• Erick Garcia
• Gian Matthew Garduque, DDS
• Caden Ryan Garinger, PSS

• Family Medicine Physician in Albany, OR
• Providers in Albany, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.