Active NPI
Chunn Enterprises Inc.
- Family Medicine Physician
- Mason, OH
National Provider Identifier
1457723694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35076823
- Legal business name
- CHUNN ENTERPRISES INC.
- Practice address
- 6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236 - Phone
- (513) 701-3145
- Fax
- (513) 701-3146
- NPI assigned
- Oct 27, 2015
- 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
- Michael A Chunn, M.D.
- Title
- President
- Phone
- (513) 701-3145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35076823 | OH | Primary |
Addresses
Primary practice location
6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Mailing address
6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Phone (513) 701-3145
Other names 1
- Chunn Family Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1073297 | Chunn Family Medicine | Provider-performed microscopy | Mar 6, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670803200000",
"number": "1457723694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6860 TYLERSVILLE RD",
"address_2": "SUITE 12",
"city": "MASON",
"state": "OH",
"postal_code": "450401236",
"telephone_number": "513-701-3145",
"fax_number": "513-701-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6860 TYLERSVILLE RD",
"address_2": "SUITE 12",
"city": "MASON",
"state": "OH",
"postal_code": "450401236",
"telephone_number": "513-701-3145",
"fax_number": "513-701-3146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHUNN ENTERPRISES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-27",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A",
"authorized_official_last_name": "CHUNN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-701-3145",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35076823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chunn Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Chunn Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.