Corey Gallus (NPI# 1457333502, PAC ID# 9335117977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1457333502 |
PAC ID by PECOS | 9335117977 |
Professional Enrollment ID | I20040921000791 |
Full Name | Corey Gallus |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Address |
1808 Mt Zion Rd Union KY 41091-9516 |
Phone Number | 8593017210 |
Gender | M |
Credential | MD |
Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2163326240 |
Number of Group Practice Members | 511 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180035 | ST ELIZABETH EDGEWOOD |
180045 | ST ELIZABETH FLORENCE |
181311 | ST ELIZABETH GRANT |
180001 | ST ELIZABETH FT THOMAS |
Address | Phone | Organization |
---|---|---|
1808 Mt Zion Rd, Union, KY 41091-9516 | 8593017210 | SUMMIT MEDICAL GROUP, INC. |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Physicians | 487 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
Street Address |
1808 MT ZION RD |
City | UNION |
State | KY |
Zip | 41091-9516 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert M Fitz | Internal Medicine | Summit Medical Group, Inc. | 1808 Mt Zion Rd, Union, KY 41091-9516 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa A Arehart | Nurse Practitioner | 5032 Loch Dr, Union, KY 41091-1485 | |
Eleanor D Brooks | Occupational Therapy | 3600 Evensong Dr, Union, KY 41091-6906 | |
Danya Nicole Palmer | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 9001 Us Hwy 42, Union, KY 41091-7191 |
Carrie Lynn St Hilaire | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 9001 Us Hwy 42, Union, KY 41091-7191 |
Craig M Blair | Optometry | 2012 Callie Way, Suite 101, Union, KY 41091-7520 | |
Kenneth A Mook | Physical Medicine and Rehabilitation | 800 Man O War Blvd, Union, KY 41091-8067 | |
Brian K Spencer | Chiropractic | 8761 Us Hwy 42, Suite B, Union, KY 41091-9316 | |
Margaret H Masucci | Chiropractic | 8761 Us Hwy 42, Suite C, Union, KY 41091-9316 |
City | UNION |
Zip Code | 41091 |
Specialty | FAMILY MEDICINE |
City + Specialty | UNION + FAMILY 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.