John Anthony Gall, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R2173 Issued in KY

Practice address

501 S. Burma Ave
Emergency Department
Gillette, WY 82716

Phone

(307) 688-1116

NPI assigned

Apr 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, WY2 enrollments

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.

Enrollment records 2

Specialty

Emergency Medicine

Education

Albany Medical College of Union University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians Inc of ColumbusGroup PAC ID 1557265287, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgall24932@edirect.crh.org

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.

• Emergency Physicians Inc of Columbus

  • Emergency Medicine Physician
  • Columbus, IN
  • NPI 1912951062
  Medicare reassignment Care Compare group NPD
• Physicians in Emergency Medicine PSC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1477532554
  NPD (past)
• University Medical Center, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1861554438

  Emergency Medicine

  NPD (past)

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

• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1679716153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. BURMA AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. BURMA AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "307-688-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-379-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALL",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slocohdonou8544@edirecto.crh.org",
            "affiliation": "N",
            "endpointDescription": "Directo Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Marie Fry
• Jason Allen Frye
• FSC LLC
• Matthew Jay Fuhr, PT, DPT
• Christian Ignacio Galindo
• Thomas Patrick Galvin
• Andrea Garlick, LPC
• Ramona Gates, PHARMD
• Jennifer Gauthier Felion, MS, PPC
• Sandra Susanne Gebhart, MD

• Emergency Medicine Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Emergency Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.
• 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.