DOMINIC GALLO (NPI# 1891803821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891803821 |
| Entity Type | Individual |
| Full Name | DOMINIC GALLO |
| Credential | M.D. |
| Practice Address |
3623 J Dewey Gray Cir Ste 202 Augusta GA 30909-6554 |
| Mailing Address |
3624 J Dewey Gray Cir Ste 301 Augusta GA 30909-6580 |
| Practice Telephone | 7068638181 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 042823 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3624 J Dewey Gray Cir Ste 301, Augusta, GA 309096580 | 7068638181 | 7068638175 |
| Street Address |
3623 J DEWEY GRAY CIR STE 202 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
| 1700088143 | Carsten Schroeder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2007-06-05 |
| 1669535522 | M Vinayak Kamath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2006-12-19 |
| 1477613917 | Michael A Watts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1932269479 | William R Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1922108976 | Vijaykumar Surendrakant Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th Street, Augusta, GA 30912 | 2006-09-22 |
| 1538268487 | Timothy J Hunter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 820 Saint Sebastian Way, Suite 6 - B, Augusta, GA 30901-2643 | 2006-09-21 |
| 1942311436 | James D St. Louis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-4619 | 2006-08-31 |
| 1134238728 | Richard Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-2539 | 2006-08-29 |
| 1730102021 | Augusta Cardiac and Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-07-26 |
| Find all providers in AUGUSTA | ||||
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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.