MEDICARE: MARK STEVEN GAWEL

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	171W00000X	Contractor	8824	IN
2	171WH0202X	Home Modifications Contractor	200802140	IN
3	171WV0202X	Vehicle Modifications Contractor	200806100	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20-3345786	OTHER	IN	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	610371770	OTHER	IN	DUN & BRADSTREET

General Provider Information

NPI Number	:	1427160019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK STEVEN GAWEL

Provider Business Mailing Address
First Line	:	6652 SAINT JOE RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-1974
Country	:	US
Telephone Number	:	260-485-7007
Fax Number	:	260-486-7887

Provider Business Practice Location Address
First Line	:	6652 SAINT JOE RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-1974
Country	:	US
Telephone Number	:	260-485-7007
Fax Number	:	260-486-7887

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/27/2014

Similar Medicare Providers

1336562321 — ACCESS ONE BY MSG INC.
Practice Location Address:

6652 SAINT JOE RD
FORT WAYNE, IN
46835-1974

Practice Phone: 260-485-7007
Practice Fax: 260-486-7887

1659975779 — BRYAN WHEELER
Practice Location Address:

855 WAYNE RD
SAVANNAH, TN
38372-1974

Practice Phone: 731-925-4443
Practice Fax: 731-925-4446

1033714985 — SARA SHELTON PHARMD
Practice Location Address:

855 WAYNE RD
SAVANNAH, TN
38372-1974

Practice Phone: 731-925-4443
Practice Fax:

1588770267 — PEOPLES MEDICAL SUPPLY INC
Practice Location Address:

1974 CAROLINA PLACE DR STE 136B
FORT MILL, SC
29708-6924

Practice Phone: 803-547-4588
Practice Fax: 803-547-8570

1083985295 — DR. MATT MALCOLM PH.D., OTR
Practice Location Address:

1309 HILLSIDE DR
FORT COLLINS, CO
80524-1974

Practice Phone: 970-420-6448
Practice Fax:

1861879439 — SPARROW CARE PSYCHOTHERAPY, LLC
Practice Location Address:

1974 CAROLINA PLACE DR , 200A
FORT MILL, SC
29708-6923

Practice Phone: 855-542-8255
Practice Fax:

Directions to “ MARK STEVEN GAWEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.