Robert Gunnell, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Grant, MI
NPI 1225066079 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1225066079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 4301036565 (MI)
- Practice address
- 230 S Maple St
Grant, MI 49327-9006 - Phone
- (231) 834-5995
- Fax
- (231) 924-0248
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3981 W 2 Mile Rd
White Cloud, MI 49349-9710
Phone (231) 245-9390
Hospital & facility affiliations
- Community Home Care Services
- Corewell Health Gerber Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000713 | MI | Practitioner - Family Practice |
8123198488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnell Senior Care, LLC | Geriatric Medicine | Current |
Accepting new patients |
| Newaygo County General Hospital Association | Past | Accepting new patients |
Locations
801 E Main St
Fremont, MI 49412
Phone (231) 245-9390
50 S Maple St
Grant, MI 49327
Phone (231) 245-9390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301036565 | MI | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 4301036565 | MI | Yes |
Addresses
Primary practice location
230 S Maple St
Grant, MI 49327-9006
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Other providers in Grant, MI
- Elizabeth Gotberg
- Grant Medical Center
- Jacquelyn Griffiths
- Alexandra Grotenrath
- Israel Guajardo
- Kristyn Heins
- Justin William Herby
- James Hilbrand
- Lindsey Marie Hunter
- Nora J Jacobson
All providers in Grant, MI · Geriatric Medicine (Family Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.