Thomas J. Gantner, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50.003782 Issued in OH

Practice address

2750 Newark Granville Rd
Granville, OH 43023-9142

Phone

(740) 788-9220

Fax

(740) 522-8070

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109
• Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.gantner.p1@direct.beaconortho.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GEADAA/Endpoint/GEADAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Orthopaedics & Sports Medicine, LTD

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Beacon Orthopaedics & Sports Medicine LTD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD
• Bala Shark Emergency Physicians LLC

  • Emergency Medicine Physician
  • Coshocton, OH
  • NPI 1508264318

  Physician Assistant

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Marion County Emergency Physicians Inc

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1649673401
  NPD (past)
• Marion General Hospital Foundation, Inc.

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Licking Memorial Hospital

  • General Acute Care Hospital
  • Newark, OH
  • NPI 1568446755
  Care Compare affiliation
• Prime Healthcare Foundation - Coshocton, LLC

  • General Acute Care Hospital
  • Coshocton, OH
  • NPI 1013468172
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1003242298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239142",
            "telephone_number": "740-788-9220",
            "fax_number": "740-522-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239142",
            "telephone_number": "740-788-9220",
            "fax_number": "740-522-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTNER",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-003782",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.003782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Freidner, L.P.C.
• Derek Fry, A.T.C.
• Jordonna Fulop, RN
• Gahanna Physical Therapy Limited Partnership
• Mae Tahireh Gallagher, M.D.
• David Francis Geiss, D.O.
• Tanner Lee German
• Caryn Gorby, CNP
• Megan Gordon
• Stacy Gossman, M.A., CCC-SLP

• Surgical Physician Assistant in Granville, OH
• Providers in Granville, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.