ELIZABETH MUMFORD GALLOWAY (NPI# 1003023177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003023177 |
| Entity Type | Individual |
| Full Name | ELIZABETH MUMFORD GALLOWAY |
| Credential | M.D. |
| Practice Address |
3200 Providence Dr Anchorage AK 99508-4615 |
| Mailing Address |
Po Box 35145 Lock Box 1084 Seattle WA 98124-5145 |
| Practice Telephone | 9075622211 |
| Practice Fax Number | 5094790214 |
| Mailing Telephone | 8667768150 |
| Mailing Fax Number | 3146217276 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
35.085940 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483233 | Elizabeth A Galloway | Social Worker | 8704 Vinton Ave Nw, Sparta, MI 49345-8471 | 2020-03-23 |
| 1346379658 | Elizabeth Claire Galloway | Registered Nurse | 2209 Lockesley Dr, Flower Mound, TX 75028-3572 | 2007-03-04 |
| 1992339774 | Elizabeth M Galloway | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1528622313 | Elizabeth Reames Galloway | Social Worker | 260 Hospital Dr, Brevard, NC 28712-3378 | 2019-04-26 |
| 1194921841 | Elizabeth Galloway | Physician Assistant | 13555 W Mcdowell Rd, Suite 104, Goodyear, AZ 85395-2624 | 2007-06-21 |
| 1316012651 | Elizabeth Galloway | Speech-Language Pathologist | 250 Old Forest Creek Dr, Chapel Hill, NC 27514-5420 | 2006-11-21 |
| Street Address |
3200 PROVIDENCE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809429 | James M Moran | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4661 | 2005-05-30 |
| 1104425073 | Lennett Lerch | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-10-21 |
| 1013521145 | Liberty Ann Helgeson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-09-05 |
| 1245840651 | Andrew Zwerlein | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-08-01 |
| 1417572090 | Jordan Iverson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-10 |
| 1841814795 | Providence Health & Services Washington | Psychologist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-05 |
| 1609490762 | Ellen Reeder | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-04 |
| 1265061279 | Providence Health & Services Washington | Clinic/Center | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-04-02 |
| 1437794138 | Haley Monolopolus | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2019-11-17 |
| 1144707373 | Traci Sickich | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.