JEROME GALLIEN (NPI# 1417941162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417941162 |
| Entity Type | Individual |
| Full Name | JEROME GALLIEN |
| Credential | M.D. |
| Practice Address |
1634 Elton Rd Jennings LA 70546-3614 |
| Mailing Address |
Po Box 1128 Jennings LA 70546-1128 |
| Practice Telephone | 3376167000 |
| Mailing Telephone | 3378244403 |
| Mailing Fax Number | 3378249731 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
016193 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1913961 | 05 |
| Street Address |
1634 ELTON RD |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921160 | Jennings American Legion Hospital, Inc. | Medicare Defined Swing Bed Unit | 1634 Elton Rd, Jennings, LA 70546-3614 | 2005-06-08 |
| 1992326763 | Robin Mark Deshotel | Pharmacist | 1634 Elton Rd, Jennings, LA 70546-3614 | 2020-05-02 |
| 1851948095 | Jennings American Legion Hospital Inc. | General Acute Care Hospital | 1634 Elton Rd, Jennings, LA 70546-3614 | 2019-08-22 |
| 1356998520 | Jennings American Legion Hospital Inc | Clinic/Center | 1634 Elton Rd, Jennings, LA 70546-3614 | 2019-08-22 |
| 1144720780 | Jrc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1634 Elton Rd, Jennings, LA 70546-3614 | 2018-02-20 |
| 1235646423 | Jennings Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1634 Elton Rd, Jennings, LA 70546-3614 | 2018-01-09 |
| 1174046700 | Jonathan Rochon | Nurse Practitioner | 1634 Elton Rd, Jennings, LA 70546-3614 | 2017-07-25 |
| 1952836629 | Hospital Service District No 1 of The Parrish of Jefferson Davis La | Emergency Medicine | 1634 Elton Rd, Jennings, LA 70546-3614 | 2017-05-01 |
| 1609325034 | Mary Ann Duckworth | Nurse Practitioner | 1634 Elton Rd, Jennings, LA 70546-3614 | 2016-09-27 |
| 1588035372 | Aldes Rozas Md Inc | Radiology | 1634 Elton Rd, Jennings, LA 70546-3614 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134141245 | Mid South Radiology Partners, LLC | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2006-07-25 |
| 1588035372 | Aldes Rozas Md Inc | Radiology | 1634 Elton Rd, Jennings, LA 70546-3614 | 2015-10-19 |
| 1083962021 | Bradley Shore, Md, LLC | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2012-08-23 |
| 1437324092 | National Mammography Services, LLC | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2008-04-24 |
| 1154513893 | F. Michael Hindelang, IIi, Md, Apmc | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2007-08-16 |
| 1578699138 | Paradox Inc | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2007-02-26 |
| 1841390622 | Advanced Medical Imaging | Radiology | 107 E Shankland Ave, Jennings, LA 70546-4709 | 2006-09-22 |
| 1710972211 | Robert C. Schumacher | Radiology | 1634 Elton Rd, Jennings, LA 70546-3614 | 2005-09-12 |
| 1427042175 | Aldes J. Rozas IIi | Radiology | 1634 Elton Rd, Jennings, LA 70546-3614 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
| 1588023980 | Louisiana Diagnostic and Imaging | Radiology | 5633 Cormier Rd, Vinton, LA 70668-6316 | 2016-02-15 |
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1457790255 | Sulphur Healthcare Partners | Radiology | 3649 S Beglis Pkwy, Sulphur, LA 70665-8107 | 2013-06-14 |
| 1013250703 | Paul Jude Sibille | Radiology | 1240 Highway 761, Church Point, LA 70525-7527 | 2013-04-01 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.