KIMBERLY GANGWER
NPI 1063871770
Specialist/Technologist, Other - Surgical Assistant in Lafayette, IN

Q: What is Kimberly Gangwer's NPI number?

The NPI number for Kimberly Gangwer is 1063871770. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Q: What is Kimberly Gangwer's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Gangwer was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2016

5177 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2016, Feb 23, 2016 (2 updates tracked since 2016).

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About Kimberly Gangwer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY GANGWER (NPI 1063871770) is an individual surgical assistant in Lafayette, Indiana, licensed in Indiana (CERT 92231) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1063871770

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameKIMBERLY GANGWER

Location Address5177 MCCARTY LNLafayette, IN 47905-8764

Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000

Phone(765) 448-8000

Sole ProprietorNo

Enumeration DateFebruary 23, 2016

Last NPPES UpdateMarch 30, 20162 updates tracked since enumeration

✔ NPI 1063871770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in IN · CERT 92231

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

5177 MCCARTY LN, Lafayette, IN 47905

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Other Identifiers 1

Other000000996847IN · Anthem Provider Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIDNEY D BRUCE MD

Surgery