Individual provider Active NPI

Michael Vincent Galo, MD

  • Orthopaedic Surgery Physician
  • Laredo, TX
National Provider Identifier
1952402299
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D4409 Issued in TX
Practice address
702 Galveston
Laredo, TX 78040
Phone
(956) 722-6429
Fax
(956) 722-1575
NPI assigned
Sep 26, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D4409 TX Primary

Addresses

Primary practice location

702 Galveston
Laredo, TX 78040

Mailing address

702 Galveston
Laredo, TX 78040
Phone (956) 722-6429

Other identifiers 1

IdentifierTypeStateIssuer
099598701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D4409TXMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1952402299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GALVESTON",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78040",
            "telephone_number": "956-722-6429",
            "fax_number": "956-722-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GALVESTON",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78040",
            "telephone_number": "956-722-6429",
            "fax_number": "956-722-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALO",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D4409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099598701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.