Individual provider Active NPI

Robert Alan Gildone Jr., CNP

  • Adult Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1508967118
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.05170 Issued in OH
Practice address
885 E Buchtel Ave
Akron, OH 44305-2338
Phone
(330) 535-8116
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-241409 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.05170 OH Primary

Addresses

Primary practice location

885 E Buchtel Ave
Akron, OH 44305-2338

Mailing address

885 E Buchtel Ave
Akron, OH 44305-2338
Phone (330) 535-8116

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190830002593 OH Practitioner - Nurse Practitioner 4385973288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-241409OHMDRegistered Nurse
APRN.CNP.05170OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Recovery Clinic LLC Adult Health CurrentSince Oct 15, 2023 Accepting new patients
Oriana House, Inc. PastSince Mar 12, 2024 Accepting new patients
Oriana House, Inc. PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1508967118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E BUCHTEL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052338",
            "telephone_number": "330-535-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E BUCHTEL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052338",
            "telephone_number": "330-535-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDONE",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-241409",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.05170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.