Active NPI
Maureen Nuccio Dunn, M.D.
- Emergency Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 164700
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-3658
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 164700 | NC | Primary |
| Emergency Medicine Physician | 207P00000X | A124737 | CA |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
1164 Hampton Gardens LN
Charlotte, NC 28209-2013
Phone (626) 825-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Southern California Keck School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124737 | CA | MD | Emergency Medicine Physician |
| 164700 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| HMH Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Huntington Hospital Association | Past | Accepting new patients |
Locations (25 of 37)
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
390 N Pacific Coast Hwy
Ste 3000
El Segundo, CA 90245
Phone (818) 238-7081
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002
475 Foothill Blvd
La Canada, CA 91011
Phone (818) 528-6377
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883
8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020
4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355
File 50670
Los Angeles, CA 90074
8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400
2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070
3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540
4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371
19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
600 S Lake Ave
Ste 105
Pasadena, CA 91106
Phone (626) 572-4000
3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1114243359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 HAMPTON GARDENS LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092013",
"telephone_number": "626-825-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-3658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MAUREEN",
"middle_name": "NUCCIO",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "164700",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A124737",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.