Samuel a Gallo MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35082087 Issued in OH

Legal business name

SAMUEL A GALLO MD

Practice address

6620 Perimeter Dr
Suite 100a
Dublin, OH 43016-8055

Phone

(614) 766-5438

Fax

(614) 408-8269

NPI assigned

Sep 26, 2006

Last updated

Aug 16, 2021By 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. Samuel A Gallo, MDNPI 1609801489

Title

Owner

Phone

(614) 766-5438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel A Gallo, MD

  • Ophthalmology Physician
  • Dublin, OH
  • NPI 1609801489
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon C Cho, MD

  • Ophthalmology Physician
  • Dublin, OH
  • NPI 1992909063
  Medicare reassignment Care Compare group NPD
• William Joseph Kessler, M.D.

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1134121494
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1922109594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PERIMETER DR STE 100A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168061",
            "telephone_number": "614-766-5438",
            "fax_number": "614-408-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PERIMETER DR",
            "address_2": "SUITE 100A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168055",
            "telephone_number": "614-766-5438",
            "fax_number": "614-408-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A GALLO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-766-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35082087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica San Juan
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• Betty Sanders
• Jourdan Sanders
• Latiffany Sanders

• Ophthalmology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.