Mary Lynn Bundy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.134104 Issued in OH

Practice address

1108 Northview Dr Ste 1
Hillsboro, OH 45133

Phone

(937) 393-5781

Fax

(937) 393-5784

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN, KY, OH, WY4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marybundy@arh.medalliesdirect.net

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.

• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment NPD
• Banner Hospital Based Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1619464120
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994

  IN, Pediatrics

  Medicare reassignment NPD
• Reid Physician Associates, Inc.

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD
• Appalachian Regional Healthcare, Inc.

  • Emergency Medicine Physician
  • Middlesboro, KY
  • NPI 1134204688
  NPD
• Banner Hospital Based Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Ogallala, NE
  • NPI 1144025446
  NPD
• Reid Physician Associates, Inc

  • Radiology Clinic/Center
  • Winchester, IN
  • NPI 1417653221
  NPD
• Murray-Calloway County Public Hospital Corporation

  • General Acute Care Hospital
  • Murray, KY
  • NPI 1073504981
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1891762258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "SUITE 362",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504929",
            "telephone_number": "812-944-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NORTHVIEW DR STE 1",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-5781",
            "fax_number": "937-393-5784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S 8th St Ste 208E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712472",
            "country_code": "US",
            "telephone_number": "270-759-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "MARY LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01037496A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "26544",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.134104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297624",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64265440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Brummett
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• Timothy Brunacini, D.D.S.
• Buckeye Dentistry LLC
• Buckeye Family Eye Clinic, Inc.
• Mistey Burchett
• Alicia Lynn Burdine, CDCA
• Burwinkel Family Dentristry
• Ann M. Burwinkel-McKenzie, D.D.S.
• Philip Anthony Burwinkel, D.D.S.

• Pediatrics Physician in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.