MR. GARY KENNETH HUNSINGER JR. (NPI# 1164436119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164436119 |
| Entity Type | Individual |
| Full Name | MR. GARY KENNETH HUNSINGER JR. |
| Credential | CNP |
| Practice Address |
30055 Northwestern Hwy Ste 220 Farmington Hills MI 48334-3275 |
| Practice Telephone | (248) 865-9898 |
| Practice Fax Number | 2488659423 |
| Mailing Telephone | (248) 865-9898 |
| Mailing Fax Number | 2488659423 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704219053 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704219053 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE | 4704219053 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4160 John R, Ste 804, Detroit, MI 482012014 | 3137454525 | 3139937770 |
| Street Address |
30055 NORTHWESTERN HWY STE 220 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114232410 | Mahmoud Assaad | Internal Medicine | 30055 Northwestern Hwy Ste 220, Farmington Hills, MI 48334-3275 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174044622 | Audrey Chegwidden Jones | Nurse Practitioner | 28069 Gettysburg St, Farmington Hills, MI 48331-3126 | 2017-07-05 |
| 1770938789 | Margi Patel | Nurse Practitioner | 32295 Glen Cv, Farmington Hills, MI 48334-3608 | 2016-04-27 |
| 1831712025 | Amanda Katherine Chmielewski | Nurse Practitioner | 34505 W 12 Mile Rd Ste 100, Farmington Hills, MI 48331-3287 | 2020-05-21 |
| 1447730981 | Lacey Patricia Wilson | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-08-15 |
| 1841779683 | Melissa Lynn Royston | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-08-13 |
| 1669995395 | Loren Kelli Evola | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2017-07-25 |
| 1225421373 | Ashley Jeanell Klisz | Nurse Practitioner | 27555 Middlebelt Road, Farmington Hills, MI 48334-5011 | 2015-03-13 |
| 1134510332 | Corina Belean | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2015-02-10 |
| 1578833034 | Phillina Stephanie Mullin | Nurse Practitioner | 29992 Northwestern Hwy, Suite C, Farmington Hills, MI 48334-3292 | 2011-12-30 |
| 1679888630 | Angela Darlene Brennan | Nurse Practitioner | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2010-08-16 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on MR. GARY KENNETH HUNSINGER JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.