Individual provider Active NPI

Megan Imboden Galaske, M.D.

  • Pediatrics Physician
  • Columbia, TN
National Provider Identifier
1720422017
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
54808 Issued in TN
Practice address
1600 Nashville Hwy
Ste 101
Columbia, TN 38401-2069
Phone
(931) 388-8965
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54808 TN Primary

Addresses

Primary practice location

1600 Nashville Hwy
Ste 101
Columbia, TN 38401-2069

Mailing address

1600 Nashville Hwy
Ste 101
Columbia, TN 38401-2069
Phone (931) 388-8965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000370 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668612250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54808TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pediatric Clinic, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1720422017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NASHVILLE HWY",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012069",
            "telephone_number": "931-388-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NASHVILLE HWY",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012069",
            "telephone_number": "931-388-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASKE",
        "first_name": "MEGAN",
        "middle_name": "IMBODEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "54808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.