Organization Active NPI

Gunnell Senior Care, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • White Cloud, MI
National Provider Identifier
1811612633
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GUNNELL SENIOR CARE, LLC
Practice address
3981 W 2 Mile Rd
White Cloud, MI 49349-9710
Phone
(231) 245-9390
NPI assigned
Oct 4, 2022
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Robert Gunnell, MDNPI 1225066079
Title
Owner
Phone
(231) 245-9390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X Primary

Addresses

Primary practice location

3981 W 2 Mile Rd
White Cloud, MI 49349-9710

Mailing address

3981 W 2 Mile Rd
White Cloud, MI 49349-9710

Other practice location 1

801 E Main St
Fremont, MI 49412-7765
Phone (231) 245-9390

Other practice location 2

50 S Maple St
Grant, MI 49327-8426
Phone (231) 245-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221000370 MI Part B Supplier - Clinic/Group Practice 1557731254 Receives reassigned benefits from 1 practitioner
Practice locations: White Cloud, MI

National Provider Directory

National Provider Directory

Locations

801 E Main St
Fremont, MI 49412
Phone (231) 245-9390

819 W Main St
Fremont, MI 49412
Phone (231) 924-2360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1811612633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3981 W 2 MILE RD",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493499710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 W 2 MILE RD",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493499710",
            "telephone_number": "231-245-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494127765",
            "country_code": "US",
            "telephone_number": "231-245-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 S Maple St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493278426",
            "country_code": "US",
            "telephone_number": "231-245-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUNNELL SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-245-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.