Anthony W Gambill, A.T.C., CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36000011A Issued in IN

Practice address

2701 Spring St
Fort Wayne, IN 46808-3939

Phone

(260) 399-7700

Fax

(260) 399-8164

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1588658140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 JASMINE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253196",
            "telephone_number": "260-483-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SPRING ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468083939",
            "telephone_number": "260-399-7700",
            "fax_number": "260-399-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBILL",
        "first_name": "ANTHONY",
        "middle_name": "W",
        "credential": "A.T.C., CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000011A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gallmeier
• Michael Christopher Gallmeyer, NP-C
• Mauriah Galloway, COTA
• Quionsa Galloway
• Kathy J. Gallup, LMHC
• Thomas Arthur Gamble, RPH
• Acacia Gambrel
• Christopher Heath Gambrel, NURSE PRACTITIONER
• Brooke Nicole Gambrell, BA MA RBT
• Rebecca Jo Gambrell, RD

• Athletic Trainer in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.