Gannondale

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GANNONDALE

Practice address

4635 E Lake Rd
Erie, PA 16511-1410

Phone

(814) 899-7659

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Nancy Elaine Sabol

Title

Executive Director

Phone

(814) 899-7659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1194094169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111410",
            "telephone_number": "814-899-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111410",
            "telephone_number": "814-899-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANNONDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SABOL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-899-7659"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Gallo, RN
• Morgan Michele Gallo, DPM
• Gabriella Nicole Galvez
• Alejandro Javier Gamboa
• Brittany Marie Gannoe, DNP, PMHNP-BC
• Lisa R Ganz, CRNA
• Ashley Marie Ganzer, PA-C
• Kristin M Garben, PA-C
• Lisbeth Yosselyn Garcia Arguello, MD
• Gerald Dion Garcia, M.D.

• Community/Behavioral Health Agency in Erie, PA
• Providers in Erie, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.