Jerome Keith Galloway

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

009226335 Issued in LA

Practice address

4425 Finley Dr
Shreveport, LA 71105-3215

Phone

(318) 426-9393

Fax

(318) 524-8602

NPI assigned

Feb 23, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1700246451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 FINLEY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053215",
            "telephone_number": "318-426-9393",
            "fax_number": "318-524-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 FINLEY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053215",
            "telephone_number": "318-426-9393",
            "fax_number": "318-524-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JEROME",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "009226335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Galimore, LPN
• Kevin Gallagher, MD
• Patrick Timothy Gallagher Sr., M.D.
• Gallego Health
• William H Gallmann III, M.D.
• Lynda J Galloway, LAC
• Gamble Hospice Care Northwest, LLC
• Rupal Gamble, PA-C
• Rajendra T Gandhi, MD
• Gale Gandy

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.