Individual provider Active NPI

Anthony G Gunby, CPO

  • Specialist
  • Altoona, PA
National Provider Identifier
1710418264
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PO000005 Issued in PA
Practice address
3500 6TH Ave
Altoona, PA 16602-1814
Phone
(814) 944-0187
Fax
(814) 942-1712
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OH000010 PA
Specialist 174400000X PO000005 PA Primary

Addresses

Primary practice location

3500 6TH Ave
Altoona, PA 16602-1814

Mailing address

3500 6TH Ave
Altoona, PA 16602-1814
Phone (814) 944-0187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OH000010PAMDSpecialist
PO000005PAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1710418264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021814",
            "telephone_number": "814-944-0187",
            "fax_number": "814-942-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021814",
            "telephone_number": "814-944-0187",
            "fax_number": "814-942-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNBY",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OH000010",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PO000005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.