John C Gallik, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

3176 Corporal Johnson Road
Jbsa Fort Sam Houston, TX 33809

Phone

(540) 220-0056

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1861018178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 ASHBURY DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097821",
            "telephone_number": "540-220-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 CORPORAL JOHNSON ROAD",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "33809",
            "telephone_number": "540-220-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIK",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Dominguez Jr., M.D.
• Mauricio Jonas Farinacci, MD
• Victoria Fernandes, MD
• Nicholas Pierre Fethiere, MD
• Lon Alan Fry, D.O.
• Stephen David Gelfond, MD
• Jamie Geringer, D.O
• Jordan Heath Gipson, M.D.
• Cynthia Natalia Giraldo, M.D.
• Brody Harn

• Independent Duty Medical Technicians in Jbsa Fort Sam Houston, TX
• Providers in Jbsa Fort Sam Houston, TX by specialty
• Independent Duty Medical Technicians in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.