Active NPI
Patricia M Gamble, N.P.
- Gerontology Nurse Practitioner
- Coraopolis, PA
National Provider Identifier
1548442205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP009056
- Practice address
- 935 Thorn Run Rd
W201
Coraopolis, PA 15108-2861 - Phone
- (412) 269-9665
- Fax
- (412) 269-7985
- NPI assigned
- Dec 4, 2007
- Last updated
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP009056 | PA | Primary |
Addresses
Primary practice location
935 Thorn Run Rd
W201
Coraopolis, PA 15108-2861
Mailing address
124 Chapelridge Dr
Jefferson Hills, PA 15025-3098
Phone (412) 655-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP009056 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sangodeyi Surgical Clinic P.C. | Past | Accepting new patients | |
| Wound Consultant of Western PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Coraopolis, PA
- NPI 1306989603
-
- Specialist
- Coraopolis, PA
- NPI 1396810438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1548442205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CHAPELRIDGE DR",
"city": "JEFFERSON HILLS",
"state": "PA",
"postal_code": "150253098",
"telephone_number": "412-655-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 THORN RUN RD",
"address_2": "W201",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082861",
"telephone_number": "412-269-9665",
"fax_number": "412-269-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP009056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.