DR. SAMUEL GALLOWAY (NPI# 1770966988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770966988 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL GALLOWAY |
| Credential | M.D. |
| Practice Address |
9909 Mira Mesa Blvd Ste 200 San Diego CA 92131-1061 |
| Practice Telephone | 8586577750 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A144055 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9909 MIRA MESA BLVD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92131-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
| 1124686415 | Haley Christine Luebke | Student in an Organized Health Care Education/Training Program | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131-1061 | 2019-05-31 |
| 1538723606 | Aleksandr Lyubasyuk | Student in an Organized Health Care Education/Training Program | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131-1061 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
| 1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
| 1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
| 1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1215143482 | Anita Alyne Butler | Specialist | 9845 Erma Rd Ste 200, San Diego, CA 92131 | 2007-05-15 |
| Find all providers in zip 92131 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 1487913588 | James Toldi | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2012-05-09 |
| 1881798221 | Frederick Allen Richburg II | Family Medicine | 4010 Sorrento Valley Blvd, Suite 300, San Diego, CA 92121-1432 | 2006-09-07 |
| 1346351665 | Stephen M Daquino | Family Medicine | 16445 Bernardo Center Dr, San Diego, CA 92128-2523 | 2006-08-31 |
| 1093821639 | Robert Arnold Baker | Family Medicine | 1820 Washington Pl, San Diego, CA 92103-2723 | 2006-08-23 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1417936295 | Joseph Lee Moore | Family Medicine | 975 Garnet Ave, San Diego, CA 92109-2729 | 2006-01-11 |
| 1154313971 | Kelly Dean Skanchy | Family Medicine | 2450 Craven St Bldg 3300, Naval Health Clinic Naval Station San Diego, San Diego, CA 92136-5599 | 2005-08-18 |
| 1376106849 | Joseph E Allen Md Inc | Family Medicine | 4116 W Point Loma Blvd, San Diego, CA 92110-5605 | 2019-04-19 |
| 1215382841 | Alex Bernadett | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2016-05-02 |
| Find all providers in SAN DIEGO | ||||
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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.