Bart Wayne Gastwirth
Podiatrist Radiology Sports Medicine Foot Surgery and 1 more
1802 S Mattis Ave
Champaign
, Illinois 61821-5923
Bart Wayne Gastwirth
Podiatrist Radiology Sports Medicine Foot Surgery and 1 more
1802 S Mattis Ave
Champaign
, Illinois 61821-5923
(217) 383-6941
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Bart Wayne Gastwirth
- 611 W Park St Bwpc
- Urbana, IL
- Zip : 61801-2529
- Phone : (217) 383-6941
Second Address
- Bart Wayne Gastwirth
- 1802 S Mattis Ave
- Champaign, IL
- Zip : 61821-5923
- Fax : (217) 383-4459
- Phone : (217) 383-3260
Reviews
FAQs
Where did Bart Wayne Gastwirth attend graduate school?
Where did Bart Wayne Gastwirth do his residency?
Where did Bart Wayne Gastwirth do his fellowship?
Is Bart Wayne Gastwirth board certified?
What type of doctor is Bart Wayne Gastwirth
In what state does Bart Wayne Gastwirth practice in?
Where is Bart Wayne Gastwirth ’s practice located?
What is Bart Wayne Gastwirth ’s gender?
Is Bart Wayne Gastwirth a sole practitioner?
Is Bart Wayne Gastwirth accepting new patients?
What languages does Bart Wayne Gastwirth speak?
Does Bart Wayne Gastwirth accept insurance?
Does Bart Wayne Gastwirth offers telemedicine?
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What is Bart Wayne Gastwirth ’s NPI number?
Does Bart Wayne Gastwirth have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016-0002956 | IL |
| N | 222Z00000X | Podiatrist | 016-0002956 | IL |
| N | 213EP1101X | Primary Podiatric Medicine | 016-002956 | IL |
| N | 111NR0200X | Radiology | 016-002956 | IL |
| N | 213ER0200X | Radiology | 016-002956 | IL |
| N | 2081S0010X | Sports Medicine | 016-0002956 | IL |
| N | 213ES0000X | Sports Medicine | 016-0002956 | IL |
| Y | 213ES0131X | Foot Surgery | 016-002956 | IL |
National Provider Identifier
| NPI | 1568459030 |
|---|---|
| Provider Name | Bart Wayne Gastwirth |
| First Address | Urbana, IL 61801-2529 |
| Second Address | Champaign, IL 61821-5923 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 18/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60001121 | BLUE CROSS BLUE SHIELD (01) | IL |
| T36990 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.