Robert W. Kunkle MD, Inc PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00028126 Issued in WA

Legal business name

ROBERT W. KUNKLE MD, INC PS

Practice address

6712 Kimball Dr
Ste 101
Gig Harbor, WA 98335-1212

Phone

(253) 853-3100

Fax

(253) 549-2367

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara A Zimmerman

Title

Biller

Phone

(253) 514-5687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GIG HARBOR BONE & JOINT CLINIC Other name

Practitioners 1

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

• Michael Jon Flamoe, PA-C

  • Physician Assistant
  • Tacoma, WA
  • NPI 1013983147
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1649476755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 6TH AVE",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983339715",
            "telephone_number": "253-853-3100",
            "fax_number": "253-549-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-853-3100",
            "fax_number": "253-549-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. KUNKLE MD, INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "253-514-5687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00028126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106467",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIG HARBOR BONE & JOINT CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Tanja D'Lyn Roatch
• Kerri L Robbins, MD
• Lorilie Robison, LMFT
• Carol M Rocha
• Denise Joanne Rochman, RRT
• Rocky Bay Health Care Facility
• Alyssa Rodrigo, CBT

• Specialist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.