GARY DISALLE (NPI# 1669959110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669959110 |
| Entity Type | Individual |
| Full Name | GARY DISALLE |
| Credential | CDCA |
| Practice Address |
9955 Union Ridge Rd Rogers OH 44455-9763 |
| Mailing Address |
8580 Reserve Dr Poland OH 44514-3380 |
| Practice Telephone | 3309530243 |
| Mailing Telephone | 3309530243 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
165707 | OH | Behavioral Health & Social Service Providers |
| Street Address |
9955 UNION RIDGE RD |
| City | ROGERS |
| State | OH |
| Zip Code | 44455-9763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205343894 | Jamie Michelle Carman | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2018-01-04 |
| 1588298772 | Gary A Taylor | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-26 |
| 1205468220 | Melissa Namy | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-07 |
| 1144852161 | Tracy Rogers | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-07 |
| 1811540818 | Shawna Lewis | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-07-18 |
| 1356904569 | Amy L Sutherin | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-04-15 |
| 1528521945 | Brooke N Walker | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-04-11 |
| 1780142109 | Thomas Browning | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-03-05 |
| 1780149377 | Dianna M Newby | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-02-07 |
| 1962967588 | Jeanne Wilson | Licensed Practical Nurse | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508079401 | Kimberly Ann Kemats | Home Health | 6971 Adams Road, Rogers, OH 44455-9707 | 2007-05-07 |
| 1598247793 | Jacquelin Lou Hays | In Home Supportive Care | 46311 Pine Hollow Rd, Rogers, OH 44455-9778 | 2018-09-04 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679100549 | Collin Roe | Counselor | 1200 W Walnut St Ste 1115, Rogers, AR 72756-3521 | 2020-03-23 |
| 1689184079 | Nicole Marie-ange Overby | Counselor | 14040 Northdale Blvd Ste 100, Rogers, MN 55374-9612 | 2017-10-11 |
| 1558549832 | Fawn April Vogt | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2008-02-08 |
| 1588298772 | Gary A Taylor | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-26 |
| 1205468220 | Melissa Namy | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2020-02-07 |
| 1811540818 | Shawna Lewis | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-07-18 |
| 1780142109 | Thomas Browning | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-03-05 |
| 1780149377 | Dianna M Newby | Counselor | 9955 Union Ridge Rd, Rogers, OH 44455-9763 | 2019-02-07 |
| 1407261688 | Jennifer Hollar Berger | Counselor | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2014-06-25 |
| 1548551955 | Shaundawna Nicole Ferguson | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2011-04-20 |
| Find all providers in ROGERS | ||||
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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.