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

Mr. Thomas J. Gantner, PAC

Individual provider Physician Assistant · NPI 1003242298

Mr. Thomas J. Gantner, PAC is a Physician Assistant in Granville, Ohio. Qualified in 2010, 16 years ago. Practices with Beacon Orthopaedics and Sports Medicine Ltd, a 471-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2013
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2750 Newark Granville Rd
Granville, OH 43023-9142
Phone: (740) 788-9220
Fax: (740) 522-8070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50.003782 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50-003782 (OH)

Record details

NPI number1003242298
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address2750 Newark Granville Rd, Granville, OH 43023-9142

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Beacon Orthopaedics And Sports Medicine Ltd — 471 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Granville