Bart Wayne Gastwirth in Urbana - Sports Medicine
Bart Wayne Gastwirth - NPI 1568459030
Bart Wayne Gastwirth is a Sports Medicine in Urbana, Illinois. Bart Wayne Gastwirth practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bart Wayne Gastwirth is 1568459030. The last update date is 2016-10-18.
Bart Wayne Gastwirth's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173836941. The mailing address for Bart Wayne Gastwirth is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bart Wayne Gastwirth |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173836941 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1568459030 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2016-10-18 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173836941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 016-0002956 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60001121 | IL | BLUE CROSS BLUE SHIELD |
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What is the Bart Wayne Gastwirth's unique identification number?
The Bart Wayne Gastwirth has been assigned the NPI (National Provider Identifier) Number 1568459030 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bart Wayne Gastwirth located?
The Bart Wayne Gastwirth is located at 611 W Park St, Urbana, IL 618012529.
What is Bart Wayne Gastwirth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bart Wayne Gastwirth is Sports Medicine, and the taxonomy code that classifies this field of practice is 213Es0000X.
On what date did the Bart Wayne Gastwirth receive its 1568459030 assignment from the Centers for Medicare & Medicaid Services?
The Bart Wayne Gastwirth was assigned its 1568459030 by the Centers for Medicare & Medicaid Services on 2005-09-30.
When was the information regarding Bart Wayne Gastwirth most recently updated?
The details pertaining to the Bart Wayne Gastwirth, including its address, specialty, and other relevant information, were last refreshed on 2016-10-18.