Daniel L Gallo (NPI# 1861562746, PAC ID# 5698957363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861562746 |
| PAC ID by PECOS | 5698957363 |
| Professional Enrollment ID | I20110316001083 |
| Full Name | Daniel L Gallo |
| Organization Legal Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Address |
353 Bogle St A Somerset KY 42503-2889 |
| Phone Number | 6064513820 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214909456 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 | 6064512600 | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| 353 Bogle St A, Somerset, KY 42503-2889 | 6064513820 | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Organization Legal Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Jeffrey W Golden | Family Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Deanna L Neal | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Gregory J Sherry | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| James D Wilson | Family Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Hossein Fallahzadeh | General Surgery | Lake Cumberland Regional Hospital LLC | 301 Langdon St, Somerset, KY 42503-2750 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Jonathan Ruby | Family Medicine | Lake Cumberland Regional Hospital LLC | 301 Langdon St, Somerset, KY 42503-2750 |
| Harry R Kennedy Jr. | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Street Address |
353 BOGLE ST A |
| City | SOMERSET |
| State | KY |
| Zip | 42503-2889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey W Golden | Family Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Deanna L Neal | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Gregory J Sherry | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| James D Wilson | Family Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Harry R Kennedy Jr. | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Anthony J Stugan | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Robin Goff | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Stanton L Cole | Internal Medicine | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Rodney J Oakes | Family Practice | Lake Cumberland Regional Hospital LLC | 353 Bogle St A, Somerset, KY 42503-2889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Heidi Renae Frey | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Eric D Johnson | Diagnostic Radiology | 607 Clifty St, Somerset, KY 42503-1765 | |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOMERSET + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.