Active NPI
J. (John) Robert Galvin, JR. M.D. M.P.H.
- Family Medicine Physician
- Hartford, CT
National Provider Identifier
1922125673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12704
- Practice address
- 80 Seymour Street
Hartford Hospital Medicine Dept
Hartford, CT 06102-5037 - Phone
- (860) 545-0200
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12704 | CT | Primary |
| Aerospace Medicine Physician | 2083A0100X | 12704 | CT |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital Medicine Dept
Hartford, CT 06102-5037
Mailing address
P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001127042 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Starling Physicians PC
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1922125673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415933",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415933",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL MEDICINE DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061025037",
"telephone_number": "860-545-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIN",
"first_name": "J. (JOHN)",
"middle_name": "ROBERT",
"credential": "JR. M.D. M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "12704",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CT",
"license": "12704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001127042",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.