Active NPI
Tracy C Galloway, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN615146
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7922
- Fax
- (215) 762-8656
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN615146 | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
1500 Market St
24TH Floor-West Tower
Philadelphia, PA 19102-2100
Phone (215) 255-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN615146 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients |
Locations
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
900 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234
111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1760653539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"address_2": "24TH FLOOR-WEST TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022100",
"telephone_number": "215-255-3828",
"fax_number": "215-255-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7922",
"fax_number": "215-762-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "TRACY",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN615146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.