Herman Jay Hundley Jr., M.S., AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.004633 Issued in OH

Practice address

2690 Glendale Rd
Grove City, OH 43123-3340

Phone

(614) 404-6553

NPI assigned

May 14, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1205214962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 GLENDALE RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233340",
            "telephone_number": "614-404-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 GLENDALE RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233340",
            "telephone_number": "614-404-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "HERMAN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S., AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Huber, DMD
• Steven Waite Huber, D.D.S.
• Tanner Hudson
• Michael K Huff
• Mitchell Jeremy Hughes, DO
• Briana Hunt, MSW, LISW
• Jessica Lynn Hunter, RN, BSN
• Neil Hurford, MSAT, AT
• Adam Robert Hurley, PHARMD
• Andrew Arom Hurt, D.D.S.

• Athletic Trainer in Grove City, OH
• Providers in Grove City, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.