Active NPI
Chandra Punch, M.D.
- Allergy & Immunology Physician
- Apo, CO
National Provider Identifier
1124442017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 29026
- Practice address
- Landstuhl Regional Medical Center Unit 33100
Apo, CO 09180 - Phone
- (314) 590-7128
- NPI assigned
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 29026 | CO | Primary |
Addresses
Primary practice location
Landstuhl Regional Medical Center Unit 33100
Apo, CO 09180
Mailing address
Landstuhl Regional Medical Center Unit 33100
Apo, CO 09180
Phone (314) 590-7128
Other practice location 1
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-1511
Other practice location 2
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone (719) 524-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29026 | CO | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1124442017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100",
"city": "APO",
"state": "CO",
"postal_code": "09180",
"telephone_number": "314-590-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100",
"city": "APO",
"state": "CO",
"postal_code": "09180",
"telephone_number": "314-590-7128"
}
],
"practiceLocations": [
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984311000",
"country_code": "US",
"telephone_number": "253-968-1511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"address_purpose": "LOCATION",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"telephone_number": "719-524-4217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUNCH",
"first_name": "CHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2022-12-01",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CO",
"license": "29026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.