WALLACE C GAUNTNER M.D. NPI 1114929403

NPI Information

  • NPI: 1114929403
  • Provider Name: WALLACE C GAUNTNER, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 824 CALIFORNIA AVE
    PITTSBURGH, PA
    ZIP 15202
  • Phone: (412) 766-3232

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NPI Details

Wallace C Gauntner, M.D. is a nephrology internal medicine in Pittsburgh, PA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Wallace C Gauntner, M.D. NPI is 1114929403. 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:

824 CALIFORNIA AVE
PITTSBURGH, PA
ZIP 15202-706
Phone: (412) 766-3232
Fax: (412) 766-4320

The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/15/2020.

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
1207RN0300XInternal MedicineNephrologyMD019281EPENNSYLVANIAYes
2207RN0300XInternal MedicineNephrology35068280OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000793311MEDICAIDPENNSYLVANIA
2110025252OTHERRAILROAD MEDICARE
30070822000MEDICAIDWEST VIRGINIA
40642228MEDICAIDOHIO

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: 11/21/2025

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