Elizabeth Clare Gaydosh, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG07190196 Issued in OH

Practice address

4680 Autumn Run Dr
Medina, OH 44256-8821

Phone

(330) 591-1559

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1154940708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 AUTUMN RUN DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568821",
            "telephone_number": "330-591-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 AUTUMN RUN DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568821",
            "telephone_number": "330-591-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDOSH",
        "first_name": "ELIZABETH",
        "middle_name": "CLARE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "AG07190196",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "AG07190196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gasparro, SWT BA QMHSBA CMSBA
• John Amos Gasser, D.D.S.
• Lindsay Renee Gauer
• Katherine Ann Gauntner
• Karli Gaydos
• Robert Eugene Geary, D.D.S
• Jeremy Geddis
• Christine M Gemberling, LISW-S
• Kyrstin J Gentilcore, QMHS
• Gentry Health Services Inc

• Adult Health Nurse Practitioner in Medina, OH
• Providers in Medina, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.