Roger D Gallant, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C54770 Issued in CA

Practice address

1144 N Road St
Elizabeth City, NC 27909-3353

Phone

(330) 493-4443

NPI assigned

Feb 8, 2007

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.

• Newstart Medical Group Inc

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)
• Waterway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabeth City, NC
  • NPI 1487804670

  Emergency Medicine

  NPD (past)
• Central California Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1619343050
  NPD (past)
• Emergency Medicine Physicians of Belmont County LTD

  • Emergency Medicine Physician
  • Martins Ferry, OH
  • NPI 1548200066

  Emergency Medicine

  NPD (past)
• Emergency Medicine Physicians of Ohio County, PLLC

  • Emergency Medicine Physician
  • Wheeling, WV
  • NPI 1093754954

  Emergency Medicine

  NPD (past)
• Marshall Medical Center

  • Home Health Agency
  • Diamond Springs, CA
  • NPI 1992705040
  NPD (past)
• Sierra Rural Physicians, Inc.

  • Emergency Medicine Physician
  • Mariposa, CA
  • NPI 1699890905

  Emergency Medicine

  NPD (past)
• Stallant Medical Group Inc

  • Rural Health Clinic/Center
  • Highland, CA
  • NPI 1508683111
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299

  Hospital

  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264

  Hospital

  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734

  Hospital

  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Newstart Medical Group Inc

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Specialty

Emergency Medicine

Education

Loma Linda University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newstart Medical Group Inc 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Auburn Faith Vna & Hospice Home health agency, Auburn, CA, CCN 557292
• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roger.gallant.1@11511.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2017.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1215077102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093353",
            "telephone_number": "330-493-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "ROGER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200300979",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C54770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135R9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Everett Fritz, RPH
• Jessica Fuller-Hines, M.D.
• Lauren Marie Funes
• Katherine Furches, NP-C
• Samantha L Furia, M.D.
• Ryle Garland, ATC
• Steve Michael Garman, M.D.
• Delbert Franklin Garnes, PH.D.
• Gateway Community Health Centers, Inc.
• Gateway Community Health Centers, Inc.

• All providers in Elizabeth City, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.