LOUIS PAUL GUALDONI PAC NPI 1518949544

NPI Information

NPI: 1518949544
Provider Name: LOUIS PAUL GUALDONI, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1802 BRAEBURN DR
SUITE 1310
SALEM, VA
ZIP 24153
Phone: (540) 776-2020
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Louis Paul Gualdoni, PAC is a surgical physician assistant in Salem, VA. Louis Paul Gualdoni, PAC NPI is 1518949544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1802 BRAEBURN DR
SUITE 1310
SALEM, VA
ZIP 24153-357
Phone: (540) 776-2020
Fax: (540) 776-2017

The enumeration date for this NPI number is 11/16/2005 and was last updated on 4/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0110840653	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00413634	MEDICARE PIN	VIRGINIA
2	P00453910	OTHER	VIRGINIA	RAILROAD MEDICARE
3	R68627	MEDICARE UPIN
4	010400856	MEDICAID	VIRGINIA
5	970000113	MEDICARE ID-TYPE UNSPECIFIED
6	012759C65	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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