Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerome Matthew Guanciale, DO

Individual provider Surgery Physician · NPI 1851355366

Dr. Jerome Matthew Guanciale, DO is a General Surgery in Wahpeton, North Dakota. Qualified in 1986, 40 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota, North Dakota, Nevada and South Carolina.

Years since qualifying
40
Licensed in
MN, ND, NV, SC
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

332 2nd Ave N
Wahpeton, ND 58075-4528
Phone: (701) 642-7000
Fax: (701) 642-7055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Bertha Howe Ave, Mesquite, NV 89027-7502 — (702) 346-0800

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 17750 (ND)
Surgery Physician Taxonomy 208600000X · Licence 70737 (MN)
Surgery Physician Taxonomy 208600000X · Licence 0393 (SC)
Surgery Physician Taxonomy 208600000X · Licence DO2175 (NV)

Record details

NPI number1851355366
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 13, 2006
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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