WALLACE C GAUNTNER MD PC (NPI# 1700944477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700944477 |
| Entity Type | Organization |
| Organization Name | WALLACE C GAUNTNER MD PC |
| Practice Address |
325 W 6th St East Liverpool OH 43920-2803 |
| Mailing Address |
824 California Ave Pittsburgh PA 15202 |
| Practice Telephone | 3303854040 |
| Practice Fax Number | 4127661306 |
| Mailing Telephone | 4127663232 |
| Mailing Fax Number | 4127661306 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-01-04 |
| 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 |
========= | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MT STATE BS GRP NUMBER | 001706393 | 01 |
| PA | 0010670780013 | 05 | |
| OH | GATEWAY GRP NUMBER | 1001128 | 01 |
| OH | 0654073 | 05 | |
| OH | UNISON GRP NUMBER | 000000068863 | 01 |
| WV | 0006812000 | 05 | |
| 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 |
| 1265590939 | Wallace C Gauntner Md PC | Internal Medicine | 737 Brookshire Dr, Hermitage, PA 16148-4507 | 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 |
325 W 6TH ST |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477586857 | Dialysis Clinic, Inc. | Clinic/Center | 325 W 6th St, East Liverpool, OH 43920-2803 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| 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 |
|---|---|---|---|---|
| 1235447558 | Nivin Haroon | Internal Medicine | 425 W 5th St, East Liverpool City Hospital, East Liverpool, OH 43920-2405 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
Please comment or provide details below to improve the information on WALLACE C GAUNTNER MD PC.
| 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.