Kim G Gauntt (NPI# 1902908171, PAC ID# 9335203819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1902908171 |
| PAC ID by PECOS | 9335203819 |
| Professional Enrollment ID | I20090128000186 |
| Full Name | Kim G Gauntt |
| Organization Legal Name | K G GAUNTT DPM PC |
| Address |
200 Ne 4th Ave Hillsboro OR 97124-3255 |
| Phone Number | 5036481713 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2860556347 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Ne 4th Ave, Hillsboro, OR 97124-3255 | 5036481713 | K G GAUNTT DPM PC |
| 410 Villa Rd, Newberg, OR 97132-1853 | 5035380466 | K G GAUNTT DPM PC |
| Organization Legal Name | K G GAUNTT DPM PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Beth Lockhart | Podiatry | K G Gauntt Dpm PC | 410 Villa Rd, Newberg, OR 97132-1853 |
| Street Address |
200 NE 4TH AVE |
| City | HILLSBORO |
| State | OR |
| Zip | 97124-3255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Y Lee | Physical Therapy | Stride Strong Physical Therapy LLC | 2350 Ne Griffin Oaks St, Suite 100, Hillsboro, OR 97124-2374 |
| Daniel S Wright | Chiropractic | 230 Ne 2nd Ave, Suite 1, Hillsboro, OR 97124-3074 | |
| Judith M Kemp | Family Practice | Dr Judith Kemp Md LLC | 6244 Ne Brighton St, Hillsboro, OR 97124-5076 |
| Elizabeth A Conley | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Laura Briana Perry | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Marissa M Loosli | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Nancy Burger Causton | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Kent A Bond | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Hui En Gilpin | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, 107 Impact Physical Therapy Hillsboro, Hillsboro, OR 97124-5114 |
| Kelly L Witbeck | Nurse Practitioner | Providence Health and Services Oregon | 1336 Ne Orenco Station Pkwy, Hillsboro, OR 97124-5408 |
| Find all physicians in zip 97124 | |||
| City | HILLSBORO |
| Zip Code | 97124 |
| Specialty | PODIATRY |
| City + Specialty | HILLSBORO + PODIATRY |
Please comment or provide details below to improve the information on Kim G Gauntt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.