MISS AMANDA M GALLOWAY (NPI# 1528467248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528467248 |
Entity Type | Individual |
Full Name | MISS AMANDA M GALLOWAY |
Other Name | AMANDA M BOILEAU |
Credential | PAC |
Practice Address |
1038-1050 Main St Springfield MA 01103 |
Mailing Address |
1038-1050 Main Street Springfield MA 01103 |
Practice Telephone | 4137391100 |
Mailing Telephone | 4137391100 |
Enumeration Date | 2014-08-19 |
Last Update Date | 2018-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 003131 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363A00000X | Physician Assistant | PA5130 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | FEDERAL DEA (CONTROLLED SUBSTANCE REGISTRATION) | MB3308740 | 01 |
MA | STATE CONTROLLED SUBSTANCE REGISTRATION | MB0971780J | 01 |
MA | 110028120 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740704063 | Amanda Renee Galloway | Doula | 439 E. Fountain Pl, Manitou Springs, CO 80829 | 2017-07-28 |
1851737332 | Amanda Galloway | Counselor | 361 E Newsome Park Ln, Salt Lake City, UT 84115-4972 | 2013-05-10 |
1154746832 | Amanda L Galloway | Nurse Practitioner | 4755 Ogletown Stanton Rd, Suite 1320, Newark, DE 19718-2200 | 2014-03-04 |
1669758165 | Amanda M Galloway | Licensed Practical Nurse | 470 Starlight Dr, Shirley, NY 11967-1221 | 2011-10-27 |
1396764148 | Amanda J Galloway | Physician Assistant | 9 Medical Pkwy, Plaza 4, Suite 301, Dallas, TX 75234-7858 | 2006-07-19 |
Street Address |
1038-1050 MAIN ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
1558798322 | Sunshine Village, Inc. | Day Training, Developmentally Disabled Services | 585 E. Columbus Ave, Springfield, MA 01103 | 2013-10-10 |
Find all providers in zip 01103 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01103 |
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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.