WALLACE C GAUNTNER MD PC (NPI# 1265590939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265590939 |
| Entity Type | Organization |
| Organization Name | WALLACE C GAUNTNER MD PC |
| Practice Address |
737 Brookshire Dr Hermitage PA 16148-4507 |
| Mailing Address |
824 California Ave Pittsburgh PA 15202 |
| Practice Telephone | 7243460400 |
| Practice Fax Number | 7243463659 |
| Mailing Telephone | 4127663232 |
| Mailing Fax Number | 4127661306 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | APRIL HOAK (SENIOR BILLER) |
| Authorized Official Telephone | 4127663232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
PA | Allopathic & Osteopathic Physicians | |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
========= | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0006812000 | 05 | |
| PA | HIGHMARK GRP NUMBER | 478508 | 01 |
| OH | 0654073 | 05 | |
| PA | UNISON GRP NUMBER | 000000068863 | 01 |
| PA | 0010670780014 | 05 | |
| WV | MT STATE BS GRP NUMBER | 001706393 | 01 |
| PA | GATEWAY GRP NUMBER | 1001128 | 01 |
| OH | AETNA GRP NUMBER | 4565428 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376601047 | Wallace C Gauntner Md PC | Internal Medicine | 11676 Perry Hwy Ste 2202, Wexford Professional Building II, Wexford, PA 15090-7202 | 2006-12-05 |
| 1700944477 | Wallace C Gauntner Md PC | Internal Medicine | 325 W 6th St, East Liverpool, OH 43920-2803 | 2006-12-05 |
| 1619045283 | Wallace C Gauntner Md PC | Internal Medicine | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-12-01 |
| Street Address |
737 BROOKSHIRE DR |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033142419 | Dialysis Clinic Inc. | Clinic/Center | 737 Brookshire Dr, Hermitage, PA 16148-4507 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801025820 | Nassif Azzi | Internal Medicine | 5651 Frist Blvd Ste 713, Hermitage, TN 37076-2061 | 2009-07-11 |
| 1649262338 | William H. Pettus | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2005-08-18 |
| 1932629524 | Nps Physicians Tn Pllc | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3494 | 2017-06-23 |
| 1447341755 | Aiyappan Menon | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| Find all providers with the same taxonomy | ||||
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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.