Active NPI
Kathleen Marie Gunchick, MD
- Emergency Medicine Physician
- Kennesaw, GA
National Provider Identifier
1144268541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 028760
- Practice address
- 1000 Chastain Road MD 5200 House 52
Kennesaw State University Health Clinic
Kennesaw, GA 30144-5591 - Phone
- (770) 423-6644
- NPI assigned
- Jun 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 028760 | GA | Primary |
Addresses
Primary practice location
1000 Chastain Road MD 5200 House 52
Kennesaw State University Health Clinic
Kennesaw, GA 30144-5591
Mailing address
1646 Mount Paran Rd NW
Atlanta, GA 30327-3806
Phone (404) 467-4865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000381796L | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Specialist | Past | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| East Texas Medical Center Healthcare Associates | Emergency Medicine | Past | Accepting new patients |
| Cartersville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1861430555
-
dba Texas Trauma and Emergency Care
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
- Specialist
- Valley, AL
- NPI 1881754307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1144268541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 MOUNT PARAN RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273806",
"telephone_number": "404-467-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CHASTAIN ROAD MD 5200 HOUSE 52",
"address_2": "KENNESAW STATE UNIVERSITY HEALTH CLINIC",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445591",
"telephone_number": "770-423-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNCHICK",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "028760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000381796L",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.