Organization Active NPI

Ce Bunnell & Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Orange City, FL
National Provider Identifier
1598747982
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CE BUNNELL & ASSOCIATES PLLC
Practice address
1055 Saxon Blvd
Dept. of Pathology
Orange City, FL 32763-8468
Phone
(386) 851-5000
Fax
(386) 917-5159
NPI assigned
Nov 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Charles E. Bunnell, M.D.
Title
President
Phone
(386) 851-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1055 Saxon Blvd
Dept. of Pathology
Orange City, FL 32763-8468

Mailing address

PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831

Other identifiers 1

IdentifierTypeStateIssuer
DD4249OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1598747982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAXON BLVD",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638468",
            "telephone_number": "386-851-5000",
            "fax_number": "386-917-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CE BUNNELL & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "BUNNELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-851-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.