Individual provider Active NPI

Ronald David Hunziger, FNP-BC

  • Family Nurse Practitioner
  • Buffalo, MO
National Provider Identifier
1306154711
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010028164 Issued in MO
Practice address
201 S Ash St
Buffalo, MO 65622-8674
Phone
(417) 345-6100
NPI assigned
Sep 20, 2010
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2010028164 MO Primary

Addresses

Primary practice location

201 S Ash St
Buffalo, MO 65622-8674

Mailing address

PO Box 939
Bolivar, MO 65613-0939
Phone (417) 345-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000162 MO Practitioner - Nurse Practitioner 5092909374 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2010028164MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC CurrentSince Mar 1, 2014 Accepting new patients
Citizens Memorial Healthcare CurrentSince Jul 1, 2016 Accepting new patients
Citizens Memorial Healthcare CurrentSince Jul 1, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

322 E Hospital Rd
El Dorado Springs, MO 64744
Phone (417) 876-2118

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

855 Arduser Dr
Osceola, MO 64776
Phone (417) 646-5075

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1306154711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130939",
            "telephone_number": "417-345-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ASH ST",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656228674",
            "telephone_number": "417-345-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNZIGER",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010028164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MO

Sources for this page

Verify at the official NPI Registry.