James Randall Galloway, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101014037 Issued in MI

Practice address

416 Connable Ave
Northern Michigan Hospital
Petoskey, MI 49770-2212

Phone

(231) 487-4520

Fax

(231) 487-7723

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Emergency Physicians at Sierra Vista

  • Emergency Medicine Physician
  • Truth Or Consequences, NM
  • NPI 1013966613
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)
• Vista Emergency Physicians LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1609826916
  NPD (past)
• West Road Emergency Physicians

  • Emergency Medicine Physician
  • Roswell, NM
  • NPI 1053583948
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1831151141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-4520",
            "fax_number": "231-487-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "address_2": "NORTHERN MICHIGAN HOSPITAL",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-4520",
            "fax_number": "231-487-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101014037",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101014037",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "A-1193-02",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Fuchs, MD
• Katie Fulcher
• Fyzical Therapy and Balance Center by the Bay
• Gerald A. Gadowski, DO
• William James Gallo, DDS
• Lisa Anne Galloway, D.O.
• Jazmin Garcia, LMSW
• Gary H. Shaw, M.D., P.C.
• Jocindee Gasco, MA, LLP, CAADC
• Lauren Gaskill

• Emergency Medicine Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.