Scott Christopher Gunderman, PROVIDER

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Practice address

1621 Tuxedo Ave
Parma, OH 44134-1737

Phone

(216) 450-7171

NPI assigned

Jan 22, 2025

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1104638790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TUXEDO AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341737",
            "telephone_number": "216-450-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TUXEDO AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341737",
            "telephone_number": "216-450-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERMAN",
        "first_name": "SCOTT",
        "middle_name": "CHRISTOPHER",
        "credential": "PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Grisez, REGISTERED NURSE
• Robin Groth, OTR/L
• Grow With Grace Counseling Services LLC
• Guardian Home Health Services
• Namrata Gulzar Bhatti I, DDS
• Hannah Gunti, LCGC
• Emilie M Gurango, M.D.
• Riley A Gurreri, DO
• Rostislav R. Gutarts, DDS
• Jacqueline M Guttenberg, PHARM.D.

• Basic Emergency Medical Technician in Parma, OH
• Providers in Parma, OH by specialty
• Basic Emergency Medical Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.