Gaston I. S. Diallo, MD, PA

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

04-16539 Issued in KS

Legal business name

GASTON I. S. DIALLO, MD, PA

Doing business as

Gaston I. Saliou-Diallo, MD

Practice address

113 Delaware St
Suite E
Leavenworth, KS 66048-2822

Phone

(913) 682-9030

NPI assigned

May 18, 2009

Last updated

May 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gaston I. S. Diallo, M.D.

Title

Gastroenterologist

Phone

(913) 682-9030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gaston I. Saliou-Diallo, MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1417182619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DELAWARE ST",
            "address_2": "SUITE E",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482822",
            "telephone_number": "913-682-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DELAWARE ST",
            "address_2": "SUITE E",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482822",
            "telephone_number": "913-682-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON I. S. DIALLO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "GASTON",
        "authorized_official_middle_name": "I. S.",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "913-682-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "04-16539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021825601",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICAL ASSISTANCE PROGRAM",
            "identifier": "100084540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston I. Saliou-Diallo, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brijin R. Gardner, LSCSW, LCSW, RPT
• Christiane Helen Gardner, DPM
• Morgen Young Gardner, DDS
• Ariel Garrett, ED.S, LPC
• Anita Kay Gasparovic, RPH
• Jerry Lynn Gatson Sr., RN
• Laura Gawecki, LMLP
• Rene' Elaine Mitchell Geater, PHARM.D.
• Aaron Geise
• Genoa Healthcare LLC

• General Acute Care Hospital in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• General Acute Care Hospital in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.