Individual provider Active NPI

Allison Kunz, PA-C

  • Physician Assistant
  • Bingham Farms, MI
National Provider Identifier
1013504968
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010533 Issued in MI
Practice address
31100 Telegraph Rd Ste 280
Bingham Farms, MI 48025-4365
Phone
(248) 208-8844
NPI assigned
Dec 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601010533 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd Ste 280
Bingham Farms, MI 48025-4365

Mailing address

31100 Telegraph Rd Ste 280
Bingham Farms, MI 48025-4365
Phone (248) 208-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5601010533MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A3 Medical Single Specialty Current Accepting new patients
Raymond T. Hajjar, D.O. and Christopher Lumley, D.O., P.C. Single Specialty PastSince Jul 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allisonkunz@emcuramed.allscriptsdirect.net
  • Direct secure messaging: akunz1135445@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1013504968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254365",
            "telephone_number": "248-208-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254365",
            "telephone_number": "248-208-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.