Kunchithapatham Gurumurthy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35048524 Issued in OH

Practice address

5000 E Market St Ste 30
Warren, OH 44484-2259

Phone

(330) 856-9699

Fax

(330) 856-9935

NPI assigned

Sep 27, 2005

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Akron Children's Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1417943192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-856-9699",
            "fax_number": "330-856-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST STE 30",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842259",
            "telephone_number": "330-856-9699",
            "fax_number": "330-856-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUMURTHY",
        "first_name": "KUNCHITHAPATHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35048524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgurumurthy12888@direct.chmca.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 E Market St Ste 30",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444842259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Travis Colin Gullett, M.D.
• Sherri Louise Gunter, LPN
• Tanvi S Gupta, LPC
• Robert George Gurdak, M.D.
• Jeannie Gurich, CDCA
• Tracy Guy, CDCA
• Pratik Gyawali
• Danielle Mackenzie Haak
• Diana Elaine Hafely, RBT, BCABA
• Ginger Renee Hagen

• Pediatrics Physician in Warren, OH
• Providers in Warren, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.