Paul F Gualtier, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PG001470 Issued in MI

Practice address

2815 S Pennsylvania Ave
Ste 204
Lansing, MI 48910-3496

Phone

(517) 267-0200

Fax

(517) 267-1877

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1093705493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-267-0200",
            "fax_number": "517-267-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-267-0200",
            "fax_number": "517-267-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALTIER",
        "first_name": "PAUL",
        "middle_name": "F",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "PG001470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley M Groves, OTD, OTRL
• Growing Connections Therapeutic Services PLLC
• Edward Louis Grubaugh, D.D.S.,M.S.
• Joseph Grubaugh
• Allison Grubb, SWT
• Aastyn Kerria Guarino, PA-C
• Craig A Gudakunst, D.O.
• Julia Mary Gudmundsen, D.D.S.
• George Gueorguiev, DO
• Isabel Yanee Guerra, CRC

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.