Kunz Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35073408 Issued in OH

Legal business name

KUNZ MEDICAL LLC

Practice address

6 Medical Dr
Chillicothe, OH 45601-8603

Phone

(740) 779-6801

Fax

(740) 779-6804

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Glandon

Title

Billing/Receptionist

Phone

(740) 779-6801

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7960/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1629263314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603",
            "telephone_number": "740-779-6801",
            "fax_number": "740-779-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603",
            "telephone_number": "740-779-6801",
            "fax_number": "740-779-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNZ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GLANDON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING/RECEPTIONIST",
        "authorized_official_telephone_number": "740-779-6801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048466",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000253294",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0104896",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorcas Odamea Krofa
• Jesse Thomas Krusling, PHARM.D.
• Meghan Suplizio Kuebler, PHARMD.
• Katherine Kuhn, M.A., CCC-SLP
• Kunz Medical Associates Inc
• Jerry M Kunz Jr., MD
• Leslie Kunz, RPH
• Mohammed Laassadi
• Kelly Laferty, BSN, RN
• Benjamin Ross Lagard, DC

• Family Medicine Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.