Active NPI
Marlo Galli, CO
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Saint Louis, MO
National Provider Identifier
1992473284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- STUDENT
- Practice address
- 621 S New Ballas Rd Ste 585a
Saint Louis, MO 63141-8261 - Phone
- (314) 251-6478
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | STUDENT | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 585a
Saint Louis, MO 63141-8261
Mailing address
621 S New Ballas Rd Ste 585a
Saint Louis, MO 63141-8261
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mercy.net/practice/mercy-clinic-childrens-eye-specialists-medical-tower-a/?utm_source=google&utm_medium=organic_search&utm_campaign=yext&utm_term=East&utm_content=website&y_source=1_MTI5OTU5MDItNzE1LWxvY2F0aW9uLmdvb2dsZV93ZWJzaXRlX292ZXJyaWRl | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Ophthalmology LLC | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 585A
Saint Louis, MO 63141
Phone (314) 251-6478
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.
-
- Ophthalmology Physician
- Washington, MO
- NPI 1003179656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1992473284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 585A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 585A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418261",
"telephone_number": "314-251-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLI",
"first_name": "MARLO",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "MO",
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mercy.net/practice/mercy-clinic-childrens-eye-specialists-medical-tower-a/?utm_source=google&utm_medium=organic_search&utm_campaign=yext&utm_term=East&utm_content=website&y_source=1_MTI5OTU5MDItNzE1LWxvY2F0aW9uLmdvb2dsZV93ZWJzaXRlX292ZXJyaWRl",
"affiliation": "N",
"endpointDescription": "Mercy clinic website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "URL",
"address_1": "621 S New Ballas Rd Ste 585A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631418261",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.