Michael J Gunter LTD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

8113 Issued in NV

Legal business name

MICHAEL J GUNTER LTD

Doing business as

Canyon Trails Family Practice & Sports Medicine

Practice address

7455 W Washington Ave
Suite 445
Las Vegas, NV 89128-4337

Phone

(702) 804-5138

Fax

(702) 804-5364

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Michael J Gunter, MDNPI 1558319822

Title

President

Phone

(702) 228-7117

Specialties & licenses 1

Addresses

Other names 1

• Canyon Trails Family Practice & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Gunter, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1558319822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1548398647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "SUITE 445",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-804-5138",
            "fax_number": "702-804-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "SUITE 445",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-804-5138",
            "fax_number": "702-804-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J GUNTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-228-7117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "8113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Trails Family Practice & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael F Nelson DDS PC
• Michael G. Logelin, DDS, PC
• Michael G. Valpiani MD LTD
• Michael Gene Valpiani MD LTD
• Michael H. Wood, M.D., PLLC
• Michael J McKenna MD Professional Corporation
• Michael J. Kim, DDS, LTD.
• Michael J. McKenna, MD, Professional Corporation
• Michael Karagiozis DO LTD
• Michael Lin Chiropractic LLC

• Sports Medicine (Family Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Sports Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.