MR. THOMAS J. GANTNER PAC NPI 1003242298

NPI Information

NPI: 1003242298
Provider Name: MR. THOMAS J. GANTNER, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2750 NEWARK GRANVILLE RD
GRANVILLE, OH
ZIP 43023
Phone: (740) 788-9220
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MR. Thomas J. Gantner, PAC is a surgical physician assistant in Granville, OH with 14 years of experience. MR. Thomas J. Gantner, PAC NPI is 1003242298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2750 NEWARK GRANVILLE RD
GRANVILLE, OH
ZIP 43023-142
Phone: (740) 788-9220
Fax: (740) 522-8070

The NPI 1003242298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 11/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		50-003782	OHIO	No
2	363AS0400X	Physician Assistant	Surgical	50.003782	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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