Suzanne G. Gunter, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34006192 Issued in OH

Practice address

292 Brooks Malott Road
Mt. Orab, OH 45154

Phone

(937) 444-0035

Fax

(937) 444-0036

NPI assigned

Jun 18, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14987/brand/1/csg/1/fhir/r4
• Direct secure messaging: suzanne.gunter.1@14987.direct.athenahealth.com
• Direct secure messaging: sgunter@dsg-oh.direct.office.nextgen.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• All About Kids Pediatrics, LLC

  • Pediatrics Physician
  • Mt. Orab, OH
  • NPI 1881956647

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All About Kids Pediatrics, LLC

  • Pediatrics Physician
  • Mt. Orab, OH
  • NPI 1881956647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1699770339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 ST. RT. 125",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-378-5605",
            "fax_number": "937-444-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BROOKS MALOTT ROAD",
            "city": "MT. ORAB",
            "state": "OH",
            "postal_code": "45154",
            "telephone_number": "937-444-0035",
            "fax_number": "937-444-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "SUZANNE",
        "middle_name": "G.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-18",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34006192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Case Gillette, OD
• Sidney Gilpin
• Autumn Grant
• Jami A Green, LSW, LCDC III, SWA
• Courtney Grigsby
• Bryan Haines
• Ryan Hall
• Tasha Hall
• Virginia Hall
• Wanda D Hall

• Pediatrics Physician in Mt. Orab, OH
• Providers in Mt. Orab, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.