Active NPI
Louis Baird Kasunic, D.O.
- Family Medicine Physician
- Castle Rock, CO
National Provider Identifier
1912083296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28038
- Practice address
- 755 S Perry St
Suite 100
Castle Rock, CO 80104-1901 - Phone
- (303) 688-8989
- Fax
- (303) 688-3482
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28038 | CO | Primary |
| Family Medicine Physician | 207Q00000X | 34.003912 | OH |
Addresses
Primary practice location
755 S Perry St
Suite 100
Castle Rock, CO 80104-1901
Mailing address
755 S Perry St
Suite 100
Castle Rock, CO 80104-1901
Phone (303) 688-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01280387 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28038 | CO | MD | Family Medicine Physician |
| 34.003912 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912083296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S PERRY ST",
"address_2": "SUITE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041901",
"telephone_number": "303-688-8989",
"fax_number": "303-688-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S PERRY ST",
"address_2": "SUITE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041901",
"telephone_number": "303-688-8989",
"fax_number": "303-688-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASUNIC",
"first_name": "LOUIS",
"middle_name": "BAIRD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "28038",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.003912",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01280387",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.