Elaine Marie Bunick, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD11035 Issued in TN

Practice address

200 New York Ave
Suite #160
Oak Ridge, TN 37830-5212

Phone

(865) 483-5639

Fax

(865) 483-9346

NPI assigned

Jun 15, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1750586343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE #160",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-483-5639",
            "fax_number": "865-483-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE #160",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-483-5639",
            "fax_number": "865-483-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNICK",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD11035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3166763",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386121",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela S Bullock, MD
• Kaye I Bultemeier, NP
• Kayla Bunch
• Bethany Lou Bundy, L.M.T., C.D.
• Frederick A Bunge, M.D.
• John B Burgess, DDS
• Steven Burkhardt
• Brian Scott Burnett, DNP
• George Anderson Burr, LPC
• Roger Dale Burress, M.D.

• Specialist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.