DR. KENNETH RICHARD GAMBLE (NPI# 1609916428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609916428 |
| Entity Type | Individual |
| Full Name | DR. KENNETH RICHARD GAMBLE |
| Credential | PHD |
| Practice Address |
2005 W 8th St Erie PA 16505-4759 |
| Practice Telephone | 8144596858 |
| Mailing Telephone | 8144596858 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS002085L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 030819 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063835635 | Kenneth Gamble | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-02-01 |
| Street Address |
2005 W 8TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235152406 | Bharathi S Voora I | Internal Medicine | 2005 W 8th St, Suite 200, Erie, PA 16505-4759 | 2006-07-26 |
| 1912221698 | Sandra Diana Mantsch | Social Worker | 2005 W 8th St, Suite 103, Erie, PA 16505-4759 | 2010-03-24 |
| 1891024121 | Robin Marie Taylor | Counselor | 2005 W 8th St, Suite 103, Erie, PA 16505-4759 | 2009-12-16 |
| 1225172364 | Thomas Alfred Tallbacka | Dentist | 2005 W 8th St, Suite 101, Erie, PA 16505-4759 | 2007-02-19 |
| 1366519472 | Stephen John Cherban | Dentist | 2005 W 8th St, Suite 203, Erie, PA 16505-4759 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075956 | Lisa Pawlowski | Psychologist | 1176 Allen Ct, Erie, CO 80516-7007 | 2019-10-24 |
| 1750702791 | Melanie Hetzel-riggin | Psychologist | 5501 Gardner Dr, Erie, PA 16509-3020 | 2013-12-18 |
| 1114213295 | Stephen J Large | Psychologist | 542 W 6th St, # 3, Erie, PA 16507-1169 | 2011-06-27 |
| 1447552856 | Rebecca Lynne Billings | Psychologist | 1373b West 6th Street, Frontier Place, Erie, PA 16505-2503 | 2010-11-18 |
| 1497891360 | Bridget Ann Engel | Psychologist | 526 Briggs St., Suite A, Erie, CO 80516 | 2007-01-29 |
| 1831257849 | David James Johnson | Psychologist | 4622 Peach St., Level 2, Erie, PA 16509-2084 | 2006-12-04 |
| 1417025347 | Michelle M. Domowicz | Psychologist | 11 W 33rd St, Erie, PA 16508-2807 | 2006-11-30 |
| 1518052943 | Marilyn Marshall Hahn | Psychologist | 3939 West Ridge Road, Suite B-23, Erie, PA 16506 | 2006-10-03 |
| 1275625873 | Stephanie Shain Smith | Psychologist | 874 Mircos St, Erie, CO 80516-5407 | 2006-09-29 |
| 1346352481 | Jill Alexander-gottesman | Psychologist | 731 Lincoln Ave, Erie, PA 16505-5015 | 2006-08-31 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.