Dan Henry Gottwald, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD043717L Issued in PA

Practice address

103 W Saint Clair St
Suite 1D
Warren, PA 16365-2197

Phone

(814) 726-1921

Fax

(814) 726-7881

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jay E Endres MDPC

  • Family Medicine Physician
  • Warren, PA
  • NPI 1780875757
  NPD (past)
• Van W. Johnson MD PC

  • Orthopaedic Surgery Physician
  • Warren, PA
  • NPI 1700906583
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104889732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W SAINT CLAIR ST",
            "address_2": "SUITE 1D",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652197",
            "telephone_number": "814-726-1921",
            "fax_number": "814-726-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W SAINT CLAIR ST",
            "address_2": "SUITE 1D",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652197",
            "telephone_number": "814-726-1921",
            "fax_number": "814-726-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTWALD",
        "first_name": "DAN",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD043717L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012371870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Giannini
• Julie Ann Goff, MS/CCC-SLP
• Kristi Ann Goldthwaite, LCSW
• Lisa N Goodwill, PA-C
• Jill M Gorton, CRNP
• Elizabeth F Grabel, DPT, MED, GCS
• Maurina K Grandinetti, LAPC
• Aubrey Lynn Grant, LMSW
• Celia Grant, PHARMD
• Jennifer M Grey, PA-C

• Orthopaedic Surgery Physician in Warren, PA
• Providers in Warren, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.