Dominic R Gallo (NPI# 1891803821, PAC ID# 3678611019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1891803821 |
| PAC ID by PECOS | 3678611019 |
| Professional Enrollment ID | I20091105000215 |
| Full Name | Dominic R Gallo |
| Organization Legal Name | AUGUSTA PRIMARY CARE SERVICES LLC |
| Address |
2357 Tobacco Rd Augusta GA 30906-9220 |
| Phone Number | 7067980405 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1995 |
| Primary Specialty | CARDIAC SURGERY |
| Group Practice PAC ID | 2466513874 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2357 Tobacco Rd, Augusta, GA 30906-9220 | 7067980405 | AUGUSTA PRIMARY CARE SERVICES LLC |
| 3623 J Dewey Gray Cir, Augusta, GA 30909-6554 | AUGUSTA PRIMARY CARE SERVICES LLC |
| Organization Legal Name | AUGUSTA PRIMARY CARE SERVICES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha S Tojino | Nurse Practitioner | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Charles Hamilton Coleman Jr. | Urology | Augusta Primary Care Services LLC | 3623 J Dewey Gray Cir, Suite 210, Augusta, GA 30909-6554 |
| Conrado Neri Tojino Jr. | Urology | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Danielle L Taylor | Obstetrics/gynecology | Augusta Primary Care Services LLC | 3623 J Dewey Gray Cir, Suite 210, Augusta, GA 30909-6554 |
| Patrick D Jenkins | Physician Assistant | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Melissa Allison Crosby | Nurse Practitioner | Augusta Primary Care Services LLC | 3623 J Dewey Gray Cir, Suite 210, Augusta, GA 30909-6554 |
| Robert Coronna Abramson | Neurology | Augusta Primary Care Services LLC | 3624 J Dewey Gray Cir, Suite 202, Augusta, GA 30909-6586 |
| George D Smalls | Urology | Augusta Primary Care Services LLC | 3623 J Dewey Gray Cir, Suite 210, Augusta, GA 30909-6554 |
| Sunil K Lal | Gastroenterology | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Havon Knight | Internal Medicine | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Street Address |
2357 TOBACCO RD |
| City | AUGUSTA |
| State | GA |
| Zip | 30906-9220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha S Tojino | Nurse Practitioner | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Conrado Neri Tojino Jr. | Urology | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Patrick D Jenkins | Physician Assistant | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Sunil K Lal | Gastroenterology | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Havon Knight | Internal Medicine | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Philip W Catalano | Thoracic Surgery | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| John P Carr | Family Practice | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Indrani R Bongu | Obstetrics/gynecology | Augusta Primary Care Services LLC | 2357 Tobacco Rd, Augusta, GA 30906-9220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean T Lynch | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| James Patrick Walton | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lauren Cherie Daniels | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Thomas Wieme | Physician Assistant | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lynne Dunnington Peavey | Qualified Audiologist | 2021 Scott Rd, Augusta, GA 30906-2539 | |
| Scott E Sherman | Chiropractic | 3029 Deans Bridge Rd, Augusta, GA 30906-2921 | |
| Jennifer A Dufrene | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Janet Duggan | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Laura Kathleen Martin | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Courtney Nash Oneal | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Find all physicians in zip 30906 | |||
| City | AUGUSTA |
| Zip Code | 30906 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | AUGUSTA + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Dominic R Gallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.