WALLACE C GAUNTNER (M.D.) – Nephrology Physician, NPI 1114929403

WALLACE C GAUNTNER (M.D.) is a healthcare provider. based in Grove city, Pennsylvania. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. 35068280 (OH). The NPI Number for WALLACE C GAUNTNER (M.D.) is 1114929403

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
WALLACE C GAUNTNER (M.D.)
NPI
1114929403
Phone
(724) 458-4447
Address
631 N Broad Street Ext
Enumeration Date
1 June 2005
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4129352955
Graduation Year
1971 (55 years ago)
PAC ID
5991690646
Group Practice PAC ID
3678468311
Professional Enrollment ID
I20100319000409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:21State licenses:2Digital endpointsOther names

Provider Addresses for WALLACE C GAUNTNER (M.D.)

  • 631 N Broad Street Ext

    Grove City, PA 161274603

    Phone: (724) 458-4447

    Fax: (724) 346-3659

    Type: Location

  • 737 Brookshire Dr

    Hermitage, PA 161484507

    Phone: (724) 346-0400

    Fax: (724) 346-3659

    Type: Location

  • 2562 Constitution Blvd

    Beaver Falls, PA 150101249

    Phone: (724) 846-4934

    Fax: (412) 766-1306

    Type: Location

  • 325 W 6th St

    East Liverpool, OH 439202803

    Phone: (330) 385-4040

    Fax: (412) 766-1306

    Type: Location

  • California Avenue, Marshall-Shadeland, Pittsburgh, Allegheny County, Pennsylvania, 15233, United States

    PITTSBURGH, PA 152022706

    Phone: (412) 766-3232

    Fax: (412) 766-4320

    Type: Mailing

  • 490 E North Ave Ste 400

    Pittsburgh, PA 152124740

    Phone: (412) 766-3232

    Fax: (412) 766-1306

    Type: Location

  • 11676 Perry Hwy Ste 2202

    Wexford, PA 150907202

    Phone: (724) 935-2955

    Fax: (412) 766-1306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678468311View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does WALLACE C GAUNTNER (M.D.) have a public NPI I can cite?
Public records show WALLACE C GAUNTNER (M.D.) under NPI 1114929403.
Quick check: is WALLACE C GAUNTNER (M.D.) active?
Public NPPES data shows WALLACE C GAUNTNER (M.D.) with an active NPI status right now.
How should patients interpret WALLACE C GAUNTNER (M.D.)'s specialty?
The extract shows Nephrology Physician for WALLACE C GAUNTNER (M.D.). Clinical services aligned with this taxonomy classification.
Is WALLACE C GAUNTNER (M.D.) tied to Grove City, Pennsylvania?
If you are local to Grove City, Pennsylvania, WALLACE C GAUNTNER (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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