Active NPI
Norma V Gungon, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1922033596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D26112
- Practice address
- 6701 N Charles St
Dept of Pediatrics
Baltimore, MD 21204-6808 - Phone
- (443) 849-2792
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D26112 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Dept of Pediatrics
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S139/0006 | Other | MD | CAREFIRST REGIONAL |
| KJ50GB/414671-03 | Other | MD | CAREFIRST MARYLAND |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D26112 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1922033596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "DEPT OF PEDIATRICS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNGON",
"first_name": "NORMA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D26112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S139/0006",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ50GB/414671-03",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.