Wallace C Gauntner, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD019281E Issued in PA

Practice address

824 California Ave
Pittsburgh, PA 15202-2706

Phone

(412) 766-3232

Fax

(412) 766-4320

NPI assigned

Jun 1, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1114929403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 CALIFORNIA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152022706",
            "telephone_number": "412-766-3232",
            "fax_number": "412-766-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 CALIFORNIA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152022706",
            "telephone_number": "412-766-3232",
            "fax_number": "412-766-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 N Broad Street Ext",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161274603",
            "country_code": "US",
            "telephone_number": "724-458-4447",
            "fax_number": "724-346-3659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737 Brookshire Dr",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161484507",
            "country_code": "US",
            "telephone_number": "724-346-0400",
            "fax_number": "724-346-3659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2562 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaver Falls",
            "state": "PA",
            "postal_code": "150101249",
            "country_code": "US",
            "telephone_number": "724-846-4934",
            "fax_number": "412-766-1306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W 6th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202803",
            "country_code": "US",
            "telephone_number": "330-385-4040",
            "fax_number": "412-766-1306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 E North Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124740",
            "country_code": "US",
            "telephone_number": "412-766-3232",
            "fax_number": "412-766-1306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11676 Perry Hwy Ste 2202",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907202",
            "country_code": "US",
            "telephone_number": "724-935-2955",
            "fax_number": "412-766-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUNTNER",
        "first_name": "WALLACE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35068280",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD019281E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070822000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642228",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110025252",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000793311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kala Gau
• Kathryn Gauch
• Michaela Gauding
• Andrew Gaul, MPH, MSPAS, PA-C
• Meghan Frances Gaul, RN BSN
• Amanda Jayne Gaus
• Trenton Gause
• Trenton Michael Gause II, M.D.
• Aishwarya Gautam
• Marc Christian Gauthier, M.D.

• Nephrology Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.