MEDICARE: MICHAEL F GAUGLER D.O.F.A.C.O.I.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	OS006851L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100006315	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	741393	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1407818180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL F GAUGLER D.O.F.A.C.O.I.

Provider Business Mailing Address
First Line	:	1225 WARM SPRINGS AVE
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-2350
Country	:	US
Telephone Number	:	814-643-8556
Fax Number	:	814-643-8490

Provider Business Practice Location Address
First Line	:	900 BRYAN ST STE 7
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-2413
Country	:	US
Telephone Number	:	814-644-1141
Fax Number	:	814-643-9451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	10/22/2019

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Directions to “ MICHAEL F GAUGLER D.O.F.A.C.O.I.” Practice Location

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