Cheryl Gammon

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

0142056 Issued in OH

Practice address

12091 Byers Ave NE
Hartville, OH 44632-9724

Phone

(133) 093-3888

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Embrace Independence LLC

  • Assisted Living Facility
  • North Canton, OH
  • NPI 1497466601
  NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1154923928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12091 BYERS AVE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329724",
            "telephone_number": "133-093-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12091 BYERS AVE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329724",
            "telephone_number": "133-093-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OH",
            "license": "0142056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferrell-Whited Physical Therapy Services, Inc.
• Karen Anne Fetsko, MA, CCC-SLP
• Firstline Nutrition LLC
• Angela Marie Gager, CNP
• Matthew Shane Gallegly
• Douglas L Gammon
• Lizabeth Rae Gaut, DPT
• Gentle Hands Giving Care
• Gentlebrook
• Gentlebrook, Inc.

• Attendant Care Provider in Hartville, OH
• Providers in Hartville, OH by specialty
• Attendant Care Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.