Beth Card Gallant, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO162858 Issued in OR

Practice address

3369 NE Stephens St Ste 100
Roseburg, OR 97470-1200

Phone

(541) 677-6116

Fax

(541) 957-5181

NPI assigned

Sep 20, 2011

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Beth Card Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North River Pediatrics, LLC

  dba North River Pediatrics

  • Pediatrics Physician
  • Roseburg, OR
  • NPI 1447421250
  NPD (past) Authorized official

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1922381565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 NE STEPHENS ST STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701200",
            "telephone_number": "541-677-6116",
            "fax_number": "541-957-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 NE STEPHENS ST STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701200",
            "telephone_number": "541-677-6116",
            "fax_number": "541-957-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N 5th St",
            "address_2": "Ste C-1020",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973559559",
            "country_code": "US",
            "telephone_number": "541-451-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "BETH",
        "middle_name": "CARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO162858",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS11705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447421250",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "CARD",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzann Adrienne Gage, APNP, WHNP-BC
• Tiffany Gage, LCSW, CDC I
• Candida Gagliano
• Galen Inpatient Physicians PC (Vituity)
• James Gallagher
• Haleigh Gallego
• Rachel Galligan, RN
• Carla Gamble
• Shane Gamble, RD
• Kyrstin Liv Gannon

• Pediatrics Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.