Elizabeth Gonder

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

77 E Woodbury Dr
Dayton, OH 45415-2855

Phone

(937) 373-7848

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1215797048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 SAINT ANDREWS DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453249717",
            "telephone_number": "937-532-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E WOODBURY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152855",
            "telephone_number": "937-373-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nicole Goller, RN
• Trayce Golson
• Ahmed Gomaa
• Laila Ibrahim Gomaa, MD
• Ruben A Gomez, LMSW
• Junyang Gong, NP
• Diana Elizabeth Gonzalez
• Latisha Gooch, LPN
• Mary Kathy Gooch, COTA/L
• Sacha Gooch, PA-C

• Case Manager/Care Coordinator in Dayton, OH
• Providers in Dayton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.