Gaddis Sports Network, Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

GADDIS SPORTS NETWORK, INC

Practice address

14121 Rexwood Ave
Cleveland, OH 44105-6427

Phone

(216) 502-9620

NPI assigned

Sep 30, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Lamonte GaddisNPI 1831065671

Title

Founder

Phone

(216) 502-9620

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lamonte Gaddis

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1831065671
  NPD Authorized official
• Kathryn Rose Sonderman, CCC-SLP

  • Speech-Language Pathologist
  • University Heights, OH
  • NPI 1437662525
  NPD (past)

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1730053299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 REXWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 REXWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056427",
            "telephone_number": "216-502-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Prospect Ave E",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152710",
            "country_code": "US",
            "telephone_number": "216-502-9620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Denison Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441092945",
            "country_code": "US",
            "telephone_number": "216-739-9911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 Baxter Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441051255",
            "country_code": "US",
            "telephone_number": "216-502-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GADDIS SPORTS NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "LAMONTE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "216-502-9620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khal-Hentz Gabriel, MD
• Mary Terese Gabriel, M.D.
• Ruvin Sampath Gabriel, MB.CHB
• Tatyana T Gabyak, PA-C
• Joji E. Gacad, M.D.
• Kimberly D Gaddis
• Lynn M Gaddis, CNP
• Sonya Gadhe
• Zoe Gadomski
• Elyse Gadra

• Contractor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.