Medico

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICO

Practice address

6120 W Bell Rd Ste 100
Glendale, AZ 85308-3780

Phone

(833) 263-3426

Fax

(866) 264-4120

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Kunsman, DO

Title

Ceo

Phone

(928) 377-2882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1730648809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083780",
            "telephone_number": "332-633-4268",
            "fax_number": "866-264-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083780",
            "telephone_number": "833-263-3426",
            "fax_number": "866-264-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "KUNSMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-377-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medgo Medical Transportation LLC
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• Medical Management Systems, Inc.
• Medical Management Systems, Inc.
• Medical Neurology LTD
• Keith Allen Medina, RN
• Maria Del Carmen Medina, RN
• Samantha Louise Medina, DO
• Medisol Pharmacy LLC
• Alexa Medrano

• General Practice Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.