CRYSTAL-DAWN GUNSCH (NPI# 1780047969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780047969 |
Entity Type | Individual |
Full Name | CRYSTAL-DAWN GUNSCH |
Practice Address |
206 Joe Knox Ave Ste D Mooresville NC 28117-7912 |
Mailing Address |
Po Box 844572 Boston MA 02284-4572 |
Practice Telephone | 7042350474 |
Mailing Telephone | 3019337133 |
Enumeration Date | 2016-04-04 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
733 | NC | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
16416 Northcross Drive, Suite A, Huntersville, NC 28078 | 7049879585 |
Street Address |
206 JOE KNOX AVE STE D |
City | MOORESVILLE |
State | NC |
Zip Code | 28117-7912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821250408 | Derek James Slovak | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2008-06-25 |
1699396572 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2020-05-01 |
1881222958 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2020-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
Find all providers in zip 28117 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
1073750683 | Joe K Ades | Podiatrist | 143 Joe Knox Avenue, Suite 100, Mooresville, NC 28117 | 2009-01-20 |
1821250408 | Derek James Slovak | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2008-06-25 |
1699396572 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2020-05-01 |
1881222958 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 206 Joe Knox Ave Ste D, Mooresville, NC 28117-7912 | 2020-04-01 |
1548614571 | Graham Rigby | Podiatrist | 143 Joe Knox Ave, Mooresville, NC 28117 | 2016-04-15 |
1659670248 | James Alexander Robinson | Podiatrist | 143 Joe Knox Ave, Mooresville, Mooresville, NC 28117-9243 | 2011-03-22 |
1508814237 | Francis J Bean | Podiatrist | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2006-05-05 |
1457319253 | Scott M Neville | Podiatrist | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2006-05-02 |
1417943986 | Kurt A Massey | Podiatrist | 137 Professional Park Dr, Suite C, Mooresville, NC 28117-6540 | 2005-09-21 |
Find all providers in MOORESVILLE |
City | MOORESVILLE |
Zip Code | 28117 |
Please comment or provide details below to improve the information on CRYSTAL-DAWN GUNSCH.
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.