Image

Bart Wayne Gastwirth

Podiatrist Radiology Sports Medicine Foot Surgery and 1 more

1802 S Mattis Ave
Champaign , Illinois 61821-5923

Write a Review Save Call QR Code
Image

Bart Wayne Gastwirth

Podiatrist Radiology Sports Medicine Foot Surgery and 1 more

1802 S Mattis Ave
Champaign , Illinois 61821-5923

(217) 383-6941

Write a Review Save Call

Bart Wayne Gastwirth

Podiatrist Radiology Sports Medicine Foot Surgery and 1 more

1802 S Mattis Ave
Champaign , Illinois 61821-5923

(217) 383-6941 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Primary Podiatric Medicine
  • Radiology
  • Sports Medicine
  • Foot Surgery

Languages spoken

  • English

Location

1802 S Mattis Ave Champaign , Illinois 61821-5923

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

Start your review of Bart Wayne Gastwirth

FAQs


Where did Bart Wayne Gastwirth attend graduate school?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

Where did Bart Wayne Gastwirth do his residency?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

Where did Bart Wayne Gastwirth do his fellowship?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

Is Bart Wayne Gastwirth board certified?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

What type of doctor is Bart Wayne Gastwirth

Foot Surgery

In what state does Bart Wayne Gastwirth practice in?

Illinois

Where is Bart Wayne Gastwirth ’s practice located?

1802 S Mattis Ave , Champaign, Illinois, 61821-5923

What is Bart Wayne Gastwirth ’s gender?

Male

Is Bart Wayne Gastwirth a sole practitioner?

No

Is Bart Wayne Gastwirth accepting new patients?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

What languages does Bart Wayne Gastwirth speak?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

Does Bart Wayne Gastwirth accept insurance?

Yes, Bart Wayne Gastwirth accepts insurance

Does Bart Wayne Gastwirth offers telemedicine?

Bart Wayne Gastwirth has not indicated if he offers telemedicine

What is Bart Wayne Gastwirth ’s professional license number?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

What is Bart Wayne Gastwirth ’s NPI number?

1568459030

Does Bart Wayne Gastwirth have any license restrictions?

Provider has not completed his profile. If you are Bart Wayne Gastwirth, click here to claim your profile

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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

Claim this business page.

This profile has not yet been claimed by the owner or a representative.

Search

Hello GPT