Active NPI
Anthony Gibaldi, NP
- Nurse Practitioner
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP07009
- Practice address
- 7350 Industrial Park Blvd
Mentor, OH 44060-5318 - Phone
- (216) 732-9480
- Fax
- (440) 942-8431
- NPI assigned
- Sep 1, 2006
- Last updated
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP07009 | OH | Primary |
Addresses
Primary practice location
7350 Industrial Park Blvd
Mentor, OH 44060-5318
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2444260 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Alok Bhaiji, MD, Inc. | Past | Accepting new patients | |
| Neurology and Neuroscience Associates, Inc. | Past | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Nurse Practitioner | Past | Accepting new patients |
| Geriatric Nurse Practitioners, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Neurology and Neuroscience Associates Inc | Past | Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
1335 Corporate Dr
#A
Hudson, OH 44236
Phone (330) 342-4020
6847 N Chestnut St
Ste 330
Ravenna, OH 44266
Phone (330) 296-8048
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1013046978
-
- Nurse Practitioner
- Akron, OH
- NPI 1427008200
-
dba Heartland Care Partners
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
-
- Neurology Physician
- Canton, OH
- NPI 1689628349
-
- Neurology Physician
- Akron, OH
- NPI 1184675720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1871695783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 INDUSTRIAL PARK BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605318",
"telephone_number": "216-732-9480",
"fax_number": "440-942-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBALDI",
"first_name": "ANTHONY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP07009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2444260",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.