Active NPI
Sharad V Gunda, MD
- Pediatrics Physician
- Franklin, LA
National Provider Identifier
1366517617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12761R
- Practice address
- 606 Haifleigh St
Franklin, LA 70538-3731 - Phone
- (337) 828-4440
- Fax
- (337) 828-4265
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12761R | LA | Primary |
Addresses
Primary practice location
606 Haifleigh St
Franklin, LA 70538-3731
Mailing address
606 Haifleigh St
Franklin, LA 70538-3731
Phone (337) 828-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1541192 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12761R | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No. 1 of the Parish of St. Mary | Past | Accepting new patients | |
| Louis H McCormick MD, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Bayou Bend Health System
- Critical Access Hospital
- Franklin, LA
- NPI 1043218365
-
- Primary Care Clinic/Center
- Franklin, LA
- NPI 1154503241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366517617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 HAIFLEIGH ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705383731",
"telephone_number": "337-828-4440",
"fax_number": "337-828-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HAIFLEIGH ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705383731",
"telephone_number": "337-828-4440",
"fax_number": "337-828-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDA",
"first_name": "SHARAD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "12761R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1541192",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.