Gordon R Schally, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

E0872 Issued in AR

Practice address

2495 Shreveport Hwy
Pineville, LA 71360-4044

Phone

(318) 466-2305

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Radiology PLLC

  • Diagnostic Radiology Physician
  • Rogers, AR
  • NPI 1962674911

  Diagnostic Radiology

  NPD (past)
• Radiation Oncology Associates PA

  • Radiation Oncology Physician
  • Little Rock, AR
  • NPI 1831186014
  NPD (past)
• St Vincent Breast Cancer & Mammography Screening Center LLC

  • Mammography Clinic/Center
  • Little Rock, AR
  • NPI 1023005253
  NPD (past)
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  NPD (past)
• Susan K Linder MD PA

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1548229164
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2023.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1174512487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-466-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-466-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLY",
        "first_name": "GORDON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E0872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129489001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Savell, COTA
• David Sawyer, PHARMD
• Kirsten Elizabeth Sawyer, PHARMD
• Edward Scalfano
• Teresa Scallan
• Jill Scheppf, MSW, LCSW-BACS
• Paul Pierre Scheppf, LCSW
• Janet Barham Schmitt, PHARM.D.
• Ronald Schneider
• Rene Michelle Schwartzenburg, LCSW

• All providers in Pineville, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.