Active NPI
John Thomas Gallanis, MD
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1992866586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00018045
- Practice address
- 3316 NE 125TH St
Seattle, WA 98125-4565 - Phone
- (206) 362-5100
- Fax
- (206) 362-5102
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00018045 | WA | Primary |
Addresses
Primary practice location
3316 NE 125TH St
Seattle, WA 98125-4565
Mailing address
3316 NE 125TH St
Seattle, WA 98125-4565
Phone (206) 362-5100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151880 | Other | WA | LABOR AND INDUSTRIES |
| 107556 | Other | WA | AETNA |
| 6300GA | Other | WA | REGENCE RIDER NUMBER |
| 1114917 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00018045 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992866586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 NE 125TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254565",
"telephone_number": "206-362-5100",
"fax_number": "206-362-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 NE 125TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254565",
"telephone_number": "206-362-5100",
"fax_number": "206-362-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLANIS",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00018045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0151880",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "107556",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "6300GA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114917",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.