Active NPI
Kenneth J. Galang, M.D., P.a.
- Pain Clinic/Center
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Galang, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2008599 | Kenneth J Galang | Certificate of waiver | Jun 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
13710 Metropolis Ave
Ste 110
Fort Myers, FL 33912
Phone (239) 225-0129
Interoperability endpoints
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1376552661
-
- Physical Therapist
- Fort Myers, FL
- NPI 1487983276
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.