Individual provider Active NPI

Kristine A Kunesh-Part, M.D.

  • Ophthalmology Physician
  • Dayton, OH
National Provider Identifier
1538200712
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35049142 Issued in OH
Practice address
2601 Far Hills Ave
Dayton, OH 45419-1634
Phone
(937) 298-1703
Fax
(937) 298-6344
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35049142 OH Primary

Addresses

Primary practice location

2601 Far Hills Ave
Dayton, OH 45419-1634

Mailing address

2601 Far Hills Ave
Dayton, OH 45419-1634
Phone (937) 298-1703

Other identifiers 4

IdentifierTypeStateIssuer
0820065OtherUNITED HEALTH CARE
1369116OtherUMWA
000000006869OtherANTHEM
0540016MedicaidOH

Other names 1

  • Kristine A Kunesh Former name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1538200712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNESH-PART",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35049142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0820065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1369116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000006869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0540016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "KUNESH",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.