Alice C Gunnison, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA159 Issued in KY

Practice address

2406 West Broadway
Jencare Neighborhood Medical Center West Broadway, LLC
Louisville, KY 40211

Phone

(502) 775-1211

Fax

(502) 775-1221

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alice Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• University of Louisville Research Foundation

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1851357735
  NPD (past)
• University Physicians Group - Radiology

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1619061116
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1871571356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 WEST BROADWAY",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 WEST BROADWAY",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNISON",
        "first_name": "ALICE",
        "middle_name": "C",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mehmet Eren Guner, MD
• Demetrius Montez Gunn, PEER SPECIALIST
• Lacey Gunn, M.D., PH.D.
• Susan Gunn, CRNA
• Blair Lauren Gunnels
• Kristina S. Gunter, PA
• Janet Ming Guo
• Amitava Gupta, MD
• Anand Gupta, MD, FACG
• Ankur Gupta

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.