Individual provider Active NPI

Gerald E Vallee, M.D.

  • Internal Medicine Physician
  • Gallipolis, OH
National Provider Identifier
1760575658
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.028134 Issued in OH
Practice address
1051 4TH Avenue
Gallipolis, OH 45631-1562
Phone
(740) 446-5244
Fax
(740) 446-6300
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.028134 OH Primary

Addresses

Primary practice location

1051 4TH Avenue
Gallipolis, OH 45631-1562

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 441-1949

Other identifiers 2

IdentifierTypeStateIssuer
0408982MedicaidOH
0082615000MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gerald.vallee.1@17389.direct.athenahealth.com
Direct Messaging Address gerald.vallee.1@17389.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.028134OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross County Home Health LLC PastSince Feb 5, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1760575658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-441-1949",
            "fax_number": "740-446-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 4TH AVENUE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311562",
            "telephone_number": "740-446-5244",
            "fax_number": "740-446-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEE",
        "first_name": "GERALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.028134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408982",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082615000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerald.vallee.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1051 4th Avenue",
            "city": "Gallipolis",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456311562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerald.vallee.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1051 4th Avenue",
            "city": "Gallipolis",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456311562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.