Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Galo A Grijalva, MD

Individual provider Surgery Physician · NPI 1629157649

Dr. Galo A Grijalva, MD is a General Surgery in Jamestown, New York. Graduated from West Virginia University School of Medicine in 1992, 34 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in Kentucky, New York and Ohio.

Years since qualifying
34
Trained at
West Virginia University School of Medicine
Licensed in
KY, NY, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

207 Foote Ave
Jamestown, NY 14701-7077
Phone: (716) 485-7870
Fax: (716) 485-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 250606 (NY)
Surgery Physician Taxonomy 208600000X · Licence 35-082089 (OH)
Surgery Physician Taxonomy 208600000X · Licence 39428 (KY)

Record details

NPI number1629157649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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