Organization Active NPI

Kenneth J. Galang, M.D., P.a.

  • Pain Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1740518679
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
KENNETH J. GALANG, M.D., P.A.
Practice address
13710 Metropolis Ave
Unit 110
Fort Myers, FL 33912-7144
Phone
(239) 985-0117
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Kenneth Galang, M.D.NPI 1376552661
Title
Owner
Phone
(239) 985-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

13710 Metropolis Ave
Unit 110
Fort Myers, FL 33912-7144

Mailing address

PO Box 07382
Fort Myers, FL 33919-0382
Phone (239) 985-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000760 FL Part B Supplier - Clinic/Group Practice 4880729896 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2008599Kenneth J Galang13710 Metropolis Ave Ste 110, Fort Myers, FL 33912Certificate of waiverJun 13, 2028

National Provider Directory

National Provider Directory

Locations

13710 Metropolis Ave
Ste 110
Fort Myers, FL 33912
Phone (239) 225-0129

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCABD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1740518679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 07382",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190382",
            "telephone_number": "239-985-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 METROPOLIS AVE",
            "address_2": "UNIT 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "telephone_number": "239-985-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. GALANG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "GALANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-985-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.