Gary M Chaloult, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81524 Issued in ME

Practice address

35 S Gage Rd
Oakland, ME 04963

Phone

(207) 649-7855

Fax

(207) 465-2458

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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.

• Eastern Maine Medical Center

  • Rehabilitation Hospital Unit
  • Bangor, ME
  • NPI 1780674689
  NPD
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  NPD
• Northeast Cardiology Associates

  • Cardiovascular Disease Physician
  • Bangor, ME
  • NPI 1417908302
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2018.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1649249079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S GAGE RD",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634526",
            "telephone_number": "207-649-7855",
            "fax_number": "207-465-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S GAGE RD",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "04963",
            "telephone_number": "207-649-7855",
            "fax_number": "207-465-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALOULT",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "METPID007828",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Bovie
• Brian J Gillis DO PA
• Brian J Gillis Dopa
• Meredyth Ann Browning, MA, CCC-SLP
• Rocio Veronica Carbona, PA-C
• Helen Chapaykin, RPH
• Jodi Faith Cleaver
• Lyra L Collard, APRN-CNP
• Comet Courier and Taxi Service LLC
• Amie Costello, RN

• All providers in Oakland, ME
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.