NPIMap

Individual provider Active NPI

Galen G. Durose, MD

  • Family Medicine Physician
  • Dennison, OH
National Provider Identifier
1528059409
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.076116 Issued in OH
Practice address
819 N 1St St
Dennison, OH 44621-1003
Phone
(740) 922-0000
Fax
(740) 922-8042
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.076116 OH Primary

Addresses

Primary practice location

819 N 1St St
Dennison, OH 44621-1003

Mailing address

819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-0000

Other identifiers 1

IdentifierTypeStateIssuer
2205509MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001411 ME Practitioner - Family Practice 0648349654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles a Dean Memorial HospitalGroup PAC ID 1557279031, 24 clinicians

Practice addresses (Care Compare)

22 Haley CT
Sangerville, ME 04479-3000
Phone (207) 876-4811

364 Pritham Ave
Greenville, ME 04441-7214
Phone (207) 695-5200

PO Box
Suite 1129
Greenville, ME 04441-1129

Hospital & facility affiliations

  • Beacon Hospice, an Amedisys Company Hospice, Bangor, ME, CCN 201520
  • Northern Light C a Dean Hospital Hospital, Greenville, ME, CCN 201301
  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
74.14
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.076116OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Healthcare Systems CurrentSince Dec 28, 2014 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Dec 28, 2014 Accepting new patients
Eastern Maine Healthcare Systems Past Accepting new patients

Locations

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Northern Light C a Dean HospitalGreenville, ME, CCN 201301 Hospital Corporate Director Oct 1, 2024
Northern Light Mayo HospitalDover Foxcroft, ME, CCN 201309 Hospital Corporate Director Jan 1, 2025
Northern Light Mayo HospitalDover Foxcroft, ME, CCN 20Z309 Hospital Corporate Director Jan 1, 2025
Northern Light Ca Dean HospitalGreenville, ME, CCN 203987 Rural health clinic Corporate Director Oct 1, 2024
Northern Light Primary Care Dover-FoxcroftDover Foxcroft, ME, CCN 203993 Rural health clinic Corporate Director Jan 1, 2025
Northern Light Primary Care MiloMilo, ME, CCN 203991 Rural health clinic Corporate Director Jan 1, 2025
Northern Light Primary Care CorinthCorinth, ME, CCN 208522 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 7

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

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1528059409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-0000",
            "fax_number": "740-922-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-0000",
            "fax_number": "740-922-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROSE",
        "first_name": "GALEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.076116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205509",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dennison, OH

Sources for this page

Verify at the official NPI Registry.