Active NPI
Robert L Gallogly, M.D.
- Anesthesiology Physician
- Dubuque, IA
National Provider Identifier
1750358479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21522
- Practice address
- 1900 John F Kennedy Rd
Dubuque, IA 52002-3800 - Phone
- (563) 556-8332
- Fax
- (563) 556-8334
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21522 | IA | Primary |
Addresses
Primary practice location
1900 John F Kennedy Rd
Dubuque, IA 52002-3800
Mailing address
1900 John F Kennedy Rd
Dubuque, IA 52002-3800
Phone (563) 556-8332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165852 | Medicaid | IA | |
| 30293600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21522 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubuque Anesthesia Services, PC | 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.
-
- Certified Registered Nurse Anesthetist
- Dubuque, IA
- NPI 1356455257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1750358479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 JOHN F KENNEDY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520023800",
"telephone_number": "563-556-8332",
"fax_number": "563-556-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 JOHN F KENNEDY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520023800",
"telephone_number": "563-556-8332",
"fax_number": "563-556-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOGLY",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "21522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165852",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30293600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.