Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BART WAYNE GASTWIRTH, D.P.M.
Active Sole ProprietorBART WAYNE GASTWIRTH, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in CHAMPAIGN, Illinois. NPI 1568459030 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1568459030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (20.892358371331 yrs)
- Last Updated
- Oct 18, 2016
- Licenses
-
016-002956 (IL)016-002956 (IL)016-0002956 (IL)016-002956 (IL)016-0002956 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1802 S MATTIS AVECHAMPAIGN, IL, 618215923Browse IL providers · Browse ZIP 61821
- Phone
- 2173833260
- Fax
- 2173834459
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.