Walter D Gundel, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

042-0004309 Issued in VT

Practice address

364 Dorset St
Suite1
South Burlington, VT 05403-6270

Phone

(802) 862-6312

Fax

(802) 658-3984

NPI assigned

May 1, 2006

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Champlain Valley Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • South Burlington, VT
  • NPI 1386609253
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1922066026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020084",
            "telephone_number": "802-862-6312",
            "fax_number": "802-658-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 DORSET ST",
            "address_2": "SUITE1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036270",
            "telephone_number": "802-862-6312",
            "fax_number": "802-658-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDEL",
        "first_name": "WALTER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": "042-0004309",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042-0004309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004977",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060026200",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00662184",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Gronek, M.D.
• GSL Gazebo, LLC (Gazebo Senior Living)
• Josee-Ann Guay, D.M.D
• Michael J Guerra, D.P.M.
• Guiduli Ophthalmic Associates, Inc
• Peter Gunther, M.D.
• Maura M Guyer, PT
• Joanna Guyette, LICSW
• David Young Haas, MPT
• Joyce Hagan, LICSW

• Cardiovascular Disease Physician in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Cardiovascular Disease Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.