Jacob Galloway

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001745A Issued in IN

Practice address

6335 S East St
Indianapolis, IN 46227-7112

Phone

(317) 783-7474

NPI assigned

Oct 27, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jgalloway191902@direct.franciscanalliance.org

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.

• Clarksville Emergency Group, PC

  • Emergency Medicine Physician
  • Corydon, IN
  • NPI 1023487154
  Medicare reassignment
• Medical Associates

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1710932736
  Medicare reassignment
• Indiana Emergency Solutions LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1255691424
  NPD (past)

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1861897381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 N 300 E",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463508949",
            "telephone_number": "219-877-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277112",
            "telephone_number": "317-783-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Gallman, RN
• Erica Anne Gallman, BSN, RN
• Erica Michelle Gallmeyer, LCSW
• Jason Gallo, DO
• Ann M Galloway
• Kristin Leigh Galloway
• Nanette Galloway
• Casey Galloy, ATC
• Ryan Michael Galloy, MA, ATC, CSCS
• Arthur A Galstian, M.D., LLC

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.