Active NPI
Carroll M Galvin, MD
- Family Medicine Physician
- Mankato, MN
National Provider Identifier
1649256132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19802
- Practice address
- 101 Martin Luther King Dr
Mankato, MN 56001-6460 - Phone
- (507) 385-6500
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19802 | MN | Primary |
Addresses
Primary practice location
101 Martin Luther King Dr
Mankato, MN 56001-6460
Mailing address
101 Martin Luther King Dr
Mankato, MN 56001-6460
Phone (507) 385-6500
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19802 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1649256132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARTIN LUTHER KING DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016460",
"telephone_number": "507-385-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MARTIN LUTHER KING DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016460",
"telephone_number": "507-385-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIN",
"first_name": "CARROLL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "19802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
- Fussy Chiropractic Health and Wellness PLLC (HealthSource of Mankato)
- Brittany Christina Fussy, DC
- Tammy M Gagnon, MSW, LICSW
- Charlotte Eileen Gallagher, LIC. ACUPUNCTURIST
- Griffin H Gallagher
- Amvrine Ganguly, MD
- Clare Elizabeth Gannon, FNP-C
- Justin William Ganske
- Ameri Isabella Garcia
- Emily S Garfoot
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.