Stanley Allen Chunn, MD

Key facts

NPI

1508935776

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

16270 (TN)

Practice address

200 Hwy 52 Bypass West
Lafayette, TN 37083-1727

Phone

(615) 666-5600

Fax

(615) 666-8400

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stanley a Chunn MD Internal Medicine Physician · Lafayette, TN · NPI 1093116287
  NPD (past) Authorized official INTERNAL MEDICINE
• Emcare Physician Providers, Inc. Emergency Medicine Physician · Lafayette, TN · NPI 1902858137
  NPD (past)
• Sycamore Emergency Physicians LLC Emergency Medicine Physician · Lafayette, TN · NPI 1346264975
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: stanley.chunn.1@16055.direct.athenahealth.com
• Direct secure messaging: schunn@yourcarecommunity.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2011.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1508935776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HWY 52 BYPASS WEST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831727",
            "telephone_number": "615-666-5600",
            "fax_number": "615-666-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HWY 52 BYPASS WEST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831727",
            "telephone_number": "615-666-5600",
            "fax_number": "615-666-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNN",
        "first_name": "STANLEY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "003132202",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "110017020",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Lafayette, TN · Internal Medicine Physician in Tennessee