Organization Active NPI

Gltcp Health Care Services Inc

  • Nurse Practitioner
  • Wadsworth, OH
National Provider Identifier
1881136596
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GLTCP HEALTH CARE SERVICES INC
Practice address
195 Wadsworth Rd
Suite 402
Wadsworth, OH 44281-9504
Phone
(330) 334-5675
Fax
(330) 331-7567
NPI assigned
Nov 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Sam N Ghoubrial, MDNPI 1003892217
Title
Owner
Phone
(330) 334-5675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

195 Wadsworth Rd
Suite 402
Wadsworth, OH 44281-9504

Mailing address

195 Wadsworth Rd Ste 402
Wadsworth, OH 44281-9504
Phone (330) 334-5675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1881136596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD STE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819504",
            "telephone_number": "330-334-5675",
            "fax_number": "330-331-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819504",
            "telephone_number": "330-334-5675",
            "fax_number": "330-331-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLTCP HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "GHOUBRIAL",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-334-5675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.