Gretchen Leigh Nickell, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34007999G Issued in OH

Practice address

123 W 6TH St
East Liverpool, OH 43920-2921

Phone

(330) 385-7170

Fax

(330) 385-6359

NPI assigned

Mar 30, 2006

Sex

Female

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 2

Other names 1

• Dr. Gretchen Leigh Galloway Other name

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096
• Valley Oaks Care Center Nursing home, East Liverpool, OH, CCN 366306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gretchen.nickell@rvp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Selfridge Leasing, LLC

  • Skilled Nursing Facility
  • East Liverpool, OH
  • NPI 1720355076

  Adp of the SNF

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Valley Physicians, LLC

  • Multi-Specialty Clinic/Center
  • East Liverpool, OH
  • NPI 1891756870

  OH, WV

  Medicare reassignment Care Compare group NPD
• Columbiana Emergency Physicians LLC

  • Emergency Medicine Physician
  • Steubenville, OH
  • NPI 1336618628

  OH

  Medicare reassignment NPD
• Prime Healthcare Foundation - Coshocton, LLC

  • General Acute Care Hospital
  • Coshocton, OH
  • NPI 1013468172

  Internal Medicine, OH

  Medicare reassignment NPD
• Coshocton County Memorial Hospital Association

  • General Acute Care Hospital
  • Coshocton, OH
  • NPI 1053398099
  NPD
• Prime Healthcare Foundation - Coshocton LLC

  • Rural Health Clinic/Center
  • Warsaw, OH
  • NPI 1497483127
  NPD
• City Hospital Association

  • Rural Health Clinic/Center
  • Wellsville, OH
  • NPI 1447946215
  NPD (past)
• Selfridge Leasing, LLC

  • Skilled Nursing Facility
  • East Liverpool, OH
  • NPI 1720355076
  NPD (past)
• The City Hospital Association

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Selfridge Leasing, LLC

  • Skilled Nursing Facility
  • East Liverpool, OH
  • NPI 1720355076

  Nursing home

  Care Compare affiliation
• The City Hospital Association

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1639130552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W 6TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202921",
            "telephone_number": "330-385-7170",
            "fax_number": "330-385-6359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15655 State Route 170 Ste H",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209672",
            "country_code": "US",
            "telephone_number": "330-932-0183",
            "fax_number": "330-932-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lisbon",
            "state": "OH",
            "postal_code": "444321146",
            "country_code": "US",
            "telephone_number": "330-870-4595",
            "fax_number": "330-870-4189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202405",
            "country_code": "US",
            "telephone_number": "330-386-2926",
            "fax_number": "330-386-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2229 East Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "44483",
            "country_code": "US",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "GRETCHEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007999G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404204",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "280861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "GALLOWAY",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Thu Nguyen, DDS
• Pukhraj Nijhar, M.D.
• Teja Srinivas Niruogi, MD
• North Star Critical Care LLC
• Mary Ann Novak
• James Novobilsky, DO

• All providers in East Liverpool, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.