Individual provider Active NPI

Louise Johnson Wunsch, LOUISE WUNSCH, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1225365158
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 104743 Issued in FL
Practice address
6800 N Dale Mabry Hwy Ste 270
Tampa, FL 33614-3999
Phone
(800) 223-1172
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 104743 FL Primary

Addresses

Primary practice location

6800 N Dale Mabry Hwy Ste 270
Tampa, FL 33614-3999

Mailing address

6800 N Dale Mabry Hwy Ste 270
Tampa, FL 33614-3999
Phone (800) 223-1172

Other names 1

  • Dr. Louise Mina Johnson Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 104743FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1225365158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143999",
            "telephone_number": "800-223-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143999",
            "telephone_number": "800-223-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNSCH",
        "first_name": "LOUISE",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "LOUISE WUNSCH, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 104743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "JOHNSON",
            "middle_name": "MINA",
            "prefix": "DR.",
            "credential": "LOUISE J WUNSCH, MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.