JACK DAVID KUNBERGER (NPI# 1821298985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821298985 |
| Entity Type | Individual |
| Full Name | JACK DAVID KUNBERGER |
| Credential | MD |
| Practice Address |
15707 Old Lima Rd Huntertown IN 46748-9370 |
| Mailing Address |
3702 New Vision Dr Ste B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604696616 |
| Practice Fax Number | 2609693082 |
| Mailing Telephone | 2602668210 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01068425A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11014066A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000666601 | 01 |
| IN | 200986220 | 05 | |
| IN | ANTHEM | 000000666587 | 01 |
| Street Address |
15707 OLD LIMA RD |
| City | HUNTERTOWN |
| State | IN |
| Zip Code | 46748-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306372560 | Victoria Fox | Registered Nurse | 15707 Old Lima Rd., Huntertown, IN 46748 | 2017-05-10 |
| 1447540729 | Robert Raymond Murphy Jr. | Occupational Therapy Assistant | 831 Larkwillow Ct, Huntertown, IN 46748-9224 | 2011-04-08 |
| 1932507464 | Ryan Rolf Md LLC | Internal Medicine | 129 Osprey Pass, Huntertown, IN 46748-9231 | 2014-12-16 |
| 1922634864 | Ashley West | Pharmacist | 16008 Kestrel Dr, Huntertown, IN 46748-9273 | 2020-03-22 |
| 1902272081 | Huntertown Dental Services, Inc. | Dentist | 14932 Lima Rd, Huntertown, IN 46748-9275 | 2015-08-12 |
| 1043431810 | Thomas Paul Sodano | Dentist | 14932 Lima Road, Huntertown, IN 46748-9275 | 2007-05-01 |
| 1326303884 | Rhoda Kay Baughman | Midwife | 4126 N County Line Rd E, Huntertown, IN 46748-9287 | 2012-07-11 |
| 1942444195 | Perry Civiltownship Allen County Ttee | Ambulance | 15412 Lima Rd, Huntertown, IN 46748-9353 | 2009-04-30 |
| 1073688859 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 15707 Old Lima Road, Huntertown, IN 46748-9370 | 2006-11-21 |
| 1689899486 | Cynthia L Shepherd | Speech-Language Pathologist | 2824 Hunter Rd, Huntertown, IN 46748-9456 | 2007-04-16 |
| Find all providers in zip 46748 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERTOWN |
| Zip Code | 46748 |
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| 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.