Provider Type Icon

PETER L GALLARELLO DPM NPI 1366459471


NPI Information

NPI: 1366459471
Provider Name: PETER L GALLARELLO DPM

Doing Business As: FOOT AND ANKLE CENTER

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1703 CIVIC CENTER DR STE 3
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 791-3668
Get Directions

PETER L GALLARELLO DPM is a podiatrist in North Las Vegas, NV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PETER L GALLARELLO DPM NPI is 1366459471. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot And Ankle Center.

The provider's business location address is:

1703 CIVIC CENTER DR STE 3
NORTH LAS VEGAS, NV
ZIP 89030-273
Phone: (702) 791-3668

The provider's authorized official is Peter L Gallarello .
The authorized official title is President and has the following contact phone number (702) 791-3668.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist9901NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002102009MEDICAIDNEVADA
2U17784MEDICARE UPINNEVADA
3V101262MEDICARE PINNEVADA
45494440001MEDICARE NSCNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.