Roger William Gunter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9105399 Issued in FL

Practice address

Jacc
790 Veterans Way
Pensacola, FL 32507

Phone

(850) 452-6326

Fax

(850) 452-6459

NPI assigned

Jan 25, 2006

Last updated

May 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Navarre Urgent Care, LLC

  dba Navarre Urgent Care

  • Urgent Care Clinic/Center
  • Navarre, FL
  • NPI 1871750224
  NPD
• Coastal Radiology Associates PA

  • Diagnostic Radiology Physician
  • Fort Walton Beach, FL
  • NPI 1750524393
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1912977521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 DOLAN DR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337684",
            "telephone_number": "850-937-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACC",
            "address_2": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32507",
            "telephone_number": "850-452-6326",
            "fax_number": "850-452-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "ROGER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9105399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "roger.w.gunter.ctr@mail.mil",
            "affiliation": "N",
            "address_1": "JACC",
            "address_2": "790 Veterans Way",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gulf Region Radiation Oncology Centers
• Gulf Region Radiation Oncology Centers Inc
• Keosha Gulley
• Kimberly Kay Gullickson, AU.D. CCC-A
• Langdon Gund, AU.D.
• Victoria Bailey Gunter
• John Gunther, LCSW
• Amit G Gupta, MD
• Sunil Gupta, M.D.
• Colleen Gurene, ARNP

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.