Wallace Gauntner (NPI# 1114929403, PAC ID# 5991690646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1114929403 |
PAC ID by PECOS | 5991690646 |
Professional Enrollment ID | I20100319000409 |
Full Name | Wallace Gauntner |
Organization Legal Name | ADVANCED NEPHROLOGY ASSOCIATES, P.C. |
Address |
11676 Perry Hwy Suite 2202 Wexford PA 15090-7202 |
Phone Number | 4129352955 |
Gender | M |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1971 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 3678468311 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390178 | UPMC HORIZON |
390107 | UPMC PASSAVANT |
390266 | GROVE CITY MEDICAL CENTER |
390050 | ALLEGHENY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
824 California Ave, Avalon, PA 15202-2706 | 4127663232 | ADVANCED NEPHROLOGY ASSOCIATES, P.C. |
325 W 6th St, East Liverpool, OH 43920-2803 | 3303854040 | ADVANCED NEPHROLOGY ASSOCIATES, P.C. |
11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 | 4129352955 | ADVANCED NEPHROLOGY ASSOCIATES, P.C. |
Organization Legal Name | ADVANCED NEPHROLOGY ASSOCIATES, P.C. |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather K Heutsche | Nurse Practitioner | Advanced Nephrology Associates, P.C. | 824 California Ave, Avalon, PA 15202-2706 |
Samuel C Baroody | Nephrology | Advanced Nephrology Associates, P.C. | 325 W 6th St, East Liverpool, OH 43920-2803 |
Nimish Naik | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Parineesha Nath | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Gabriel T Weinberg | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Street Address |
11676 PERRY HWY SUITE 2202 |
City | WEXFORD |
State | PA |
Zip | 15090-7202 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nimish Naik | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Debra Arlene Tanner Abell | Dermatology | 11676 Perry Hwy, Suite 2305, Wexford, PA 15090-7200 | |
Parineesha Nath | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Gabriel T Weinberg | Nephrology | Advanced Nephrology Associates, P.C. | 11676 Perry Hwy, Suite 2202, Wexford, PA 15090-7202 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zidnia M Conde Colon | Diagnostic Radiology | Allegheny Clinic Radiology | 766 Village Club Dr, Wexford, PA 15090-1539 |
Thomas J Burnett | Physical Medicine and Rehabilitation | 12590 Perry Hwy, Suite 700, Wexford, PA 15090-1549 | |
Susan T Federoff | Family Medicine | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
Sean T Morgan | Physician Assistant | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
Elisabeth A Casario | Family Medicine | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
Melanie M Lam | Physician Assistant | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
Thomas Fred Carmen | Family Medicine | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
Kari M Jones | Physician Assistant | Thomas F Carmen Md and Associates PC | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 |
James M Compliment | Nurse Practitioner | 1500 Village Run Rd, Suite 308, Wexford, PA 15090-6316 | |
Mary Alice Olson | Clinical Social Worker | 10475 Perry Hwy, Suite 102, Wexford, PA 15090-6700 | |
Find all physicians in zip 15090 |
City | WEXFORD |
Zip Code | 15090 |
Specialty | NEPHROLOGY |
City + Specialty | WEXFORD + NEPHROLOGY |
Please comment or provide details below to improve the information on Wallace Gauntner.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.