Kevin F. Schrunk, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P7562 Issued in TX

Practice address

6331 Prospect Avenue
Dallas, TX 75214-3938

Phone

(214) 821-9161

Fax

(214) 824-1039

NPI assigned

Dec 6, 2006

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kschrunk225780@direct.sw.org

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

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1144389099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-9161",
            "fax_number": "214-824-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-9161",
            "fax_number": "214-824-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUNK",
        "first_name": "KEVIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244812707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Schroeder, MS, CCC-SLP
• Molly Ann Schroeder
• Vinita Schroeder, M.D.
• William Medford Schroeder
• Timothy John Schroedter, CRNA
• Petra Schubert, DDS MS
• Richard D Schubert, M.D.
• William Gregory Schucany, MD
• Mark Charles Schuchman, M.D.
• Timothy James Schuckers, PT, DPT

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.

Verify at the official NPI Registry.