Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Sudol

Individual provider Family Nurse Practitioner · NPI 1245873454

Gina Sudol is a Nurse Practitioner in Canton, Ohio. Qualified in 2019, 7 years ago. Practices with Skill Doc 101 LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
7
Licensed in
OH, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4236 3rd St
Canton, OH 44702
Phone: (330) 754-4431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.024655 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP021002 (PA)

Record details

NPI number1245873454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address4236 3rd St Sw, Canton, OH 44702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Skill Doc 101 Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Canton