Active NPI
Gunter Kahn MD PA
- Dermatology Physician
- North Miami, FL
National Provider Identifier
1306005004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GUNTER KAHN MD PA
- Practice address
- 16800NW 2ND Avenue
Suite 204
North Miami, FL 33169 - Phone
- (305) 652-8600
- Fax
- (305) 652-3139
- NPI assigned
- Jun 6, 2008
- Last updated
- Jun 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Declue
- Title
- Director Provider Services
- Phone
- (407) 875-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
16800NW 2ND Avenue
Suite 204
North Miami, FL 33169
Mailing address
2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235
Phone (407) 875-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370629000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Guinter Kahn M D P a
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- North Miami Beach, FL
- NPI 1154547016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1306005004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR STE 180",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517235",
"telephone_number": "407-875-2080",
"fax_number": "407-875-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16800NW 2ND AVENUE",
"address_2": "SUITE 204",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-652-8600",
"fax_number": "305-652-3139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUNTER KAHN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "DECLUE",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR PROVIDER SERVICES",
"authorized_official_telephone_number": "407-875-2080"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370629000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.