Individual provider Active NPI

Leonard B Galvan, PA C

  • Physician Assistant
  • Hardy, VA
National Provider Identifier
1659347474
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001029 Issued in VA
Practice address
13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone
(540) 719-1815
Fax
(540) 719-2867
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Emergency Services Inc 67 clinicians

Practice addresses (Care Compare)

13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 719-1815

434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002409 VA Practitioner - Physician Assistant 6204737208 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
631WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince May 29, 2018 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 29, 2018 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Aug 1, 2014 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Aug 1, 2014 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince May 29, 2018 Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

13205 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 719-1815

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

Interoperability endpoints

  • Direct secure messaging: lgalvan102888@direct.carilionclinic.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001029 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

13205 Booker T Washington Hwy
Hardy, VA 24101-3947

Mailing address

13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 719-1815

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address lgalvan102888@direct.carilionclinic.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2021.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1659347474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 BOOKER T WASHINGTON HWY",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013947",
            "telephone_number": "540-719-1815",
            "fax_number": "540-719-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 BOOKER T WASHINGTON HWY",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013947",
            "telephone_number": "540-719-1815",
            "fax_number": "540-719-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "LEONARD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgalvan102888@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lgalvan102888@direct.carilionclinic.org",
            "address_1": "13205 Booker T Washington Hwy",
            "city": "Hardy",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241013947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hardy, VA

Sources for this page

Verify at the official NPI Registry.