Active NPI
Max Stephen Galt, D.C.
- Chiropractor
- Marion, IL
National Provider Identifier
1598097529
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011624
- Practice address
- 1401 North Court Street
Marion, IL 62959 - Phone
- (618) 993-7500
- Fax
- (618) 993-0122
- NPI assigned
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011624 | IL | Primary |
Addresses
Primary practice location
1401 North Court Street
Marion, IL 62959
Mailing address
1401 North Court Street
Marion, IL 62959
Phone (618) 993-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011624 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1598097529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 NORTH COURT STREET",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-993-7500",
"fax_number": "618-993-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NORTH COURT STREET",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-993-7500",
"fax_number": "618-993-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALT",
"first_name": "MAX",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.