Individual provider Active NPI

Lynn M Galloway, PA-C

  • Physician Assistant
  • Waterloo, IA
National Provider Identifier
1821026287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000651 Issued in IA
Practice address
146 W Dale St Ste 201
Waterloo, IA 50703
Phone
(319) 226-9888
Fax
(319) 226-9889
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000651 IA Primary

Addresses

Primary practice location

146 W Dale St Ste 201
Waterloo, IA 50703

Mailing address

146 W Dale St Ste 201
Waterloo, IA 50703-1901
Phone (319) 226-9888

Other practice location 1

2710 Saint Francis Dr
Suite 110
Waterloo, IA 50702-5619
Phone (319) 272-5000

Other practice location 2

2413 W Ridgeway Ave
Waterloo, IA 50701-4306
Phone (319) 226-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000516 IA Practitioner - Physician Assistant 8628043221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

146 W Dale St
Waterloo, IA 50703-1901

1731 W Ridgeway Ave
Waterloo, IA 50701-4591

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000651IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 10, 2020 Accepting new patients
Allen Memorial Hospital Corporation Physician Assistant CurrentSince Aug 31, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259

146 W Dale St
Ste 201
Waterloo, IA 50703
Phone (319) 234-4431

1731 W Ridgeway Ave
Ste 102
Waterloo, IA 50701
Phone (319) 833-5731

146 W Dale St
Ste 101
Waterloo, IA 50703
Phone (319) 233-3351

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

2413 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: lgalloway108274@direct.unitypoint.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821026287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W DALE ST STE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031901",
            "telephone_number": "319-226-9888",
            "fax_number": "319-226-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W DALE ST STE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "319-226-9888",
            "fax_number": "319-226-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Saint Francis Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025619",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2413 W Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507014306",
            "country_code": "US",
            "telephone_number": "319-226-9888",
            "fax_number": "319-226-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.