Mary Catherine Dundon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD13313 Issued in TN

Practice address

3103 Business Park Cir Ste 100
Goodlettsville, TN 37072-3676

Phone

(615) 851-7865

Fax

(615) 851-7853

NPI assigned

Sep 20, 2005

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Female

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Goodlettsville Pediatrics, PC

  • Pediatrics Physician
  • Goodlettsville, TN
  • NPI 1093700833
  NPD
• Summit Medical Group,PLLC

  dba Goodlettsville Pediatric

  • Pediatrics Physician
  • Goodlettsville, TN
  • NPI 1356057681
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1174519706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723676",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723676",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD13313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE & HMO",
            "identifier": "1240402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "677768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA COMM",
            "identifier": "2026486012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000344",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "2026486010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3127864",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Jeffrey a. Rothman and Assoc, PC
• Taly Drimer Kagan, MD
• Elizabeth Reashelle Driver
• Steven Paul Duensing, D.C.
• Suzanne Renae Duke, LMT
• Meredith Inman Dunham, N.P.
• Kelli Nicole Dunn, PMHNP-BC, RN
• Nathan Robert Dyer
• Brian Edwards, M.S.
• Byard Edwards III, M.D.

• Pediatrics Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.