Individual provider Active NPI

William B. Gause, P.A.-C

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1407955065
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2267 Issued in AZ
Practice address
2550 E Guadalupe Rd
#115
Gilbert, AZ 85234-5114
Phone
(480) 632-1544
Fax
(480) 632-1533
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2267 AZ Primary

Addresses

Primary practice location

2550 E Guadalupe Rd
#115
Gilbert, AZ 85234-5114

Mailing address

6301 S McClintock Dr
#101
Tempe, AZ 85283-3392
Phone (480) 214-2300

Other names 1

  • Bill Gause Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20200203002314 AZ Practitioner - Physician Assistant 3870929276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2267AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Jan 29, 2020 Accepting new patients
Phoenix Children'S Hospital CurrentSince Jan 29, 2020 Accepting new patients

Locations

2550 E Guadalupe Rd
Ste 115
Gilbert, AZ 85234
Phone (480) 214-2300

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

6301 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 214-2300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1407955065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S MCCLINTOCK DR",
            "address_2": "#101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833392",
            "telephone_number": "480-214-2300",
            "fax_number": "480-214-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E GUADALUPE RD",
            "address_2": "#115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345114",
            "telephone_number": "480-632-1544",
            "fax_number": "480-632-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "GAUSE",
            "credential": "P.A.-C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.