Individual provider Active NPI

Michael Earl Galloway, MD

  • Radiation Oncology Physician
  • Elkins, WV
National Provider Identifier
1780654913
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
20196 Issued in WV
Practice address
801 Gorman Ave
Elkins, WV 26241-3147
Phone
(304) 637-6340
NPI assigned
Jan 23, 2006
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME86687 FL
Radiation Oncology Physician 2085R0001X 20196 WV Primary

Addresses

Primary practice location

801 Gorman Ave
Elkins, WV 26241-3147

Mailing address

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 1

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100216000741 WV Practitioner - Radiation Oncology 4981609922 Reassigns benefits to 1 organization
I20180525000397 FL Practitioner - Radiation OncologyPractitioner - Urology 4981609922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC CurrentSince May 1, 2018 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Advanced Urology Institute, LLC CurrentSince May 1, 2018 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Sand Lake Cancer Center CurrentSince May 1, 2022 Accepting new patients
Florida Urology Specialists Past Accepting new patients
Porter Radiation Oncology PA Radiation Oncology Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

2560 Enterprise Rd E
Clearwater, FL 33759
Phone (727) 796-5354

2560 Enterprise Rd E
Ste E
Clearwater, FL 33759

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

1035 Piper Blvd
Naples, FL 34110
Phone (239) 333-3200

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

7301 Stonerock Cir
Ste 2
Orlando, FL 32819
Phone (407) 351-1002

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

801 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

801 Harrison Ave
Elkins, WV 26241
Phone (304) 637-3640

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1780654913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413147",
            "telephone_number": "304-637-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "MICHAEL",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME86687",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "20196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.