Active NPI
Edward Gale
- Peer Specialist
- Beachwood, OH
National Provider Identifier
1528874237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.005147
- Practice address
- 25201 Chagrin Blvd Ste 290
Beachwood, OH 44122-5633 - Phone
- (216) 930-1957
- NPI assigned
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.005147 | OH | Primary |
Addresses
Primary practice location
25201 Chagrin Blvd Ste 290
Beachwood, OH 44122-5633
Mailing address
7224 Deveny Ave
Cleveland, OH 44105-5714
Phone (216) 650-1739
Other names 1
- Eddie Gale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.005147 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1528874237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 DEVENY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441055714",
"telephone_number": "216-650-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25201 CHAGRIN BLVD STE 290",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225633",
"telephone_number": "216-930-1957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALE",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.005147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDDIE",
"last_name": "GALE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.