GARY M AMUNDSON MD NPI 1720031446

NPI Information

NPI: 1720031446
Provider Name: GARY M AMUNDSON, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

Address:
750 E ADAMS ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-7433
Get Directions

Gary M Amundson, MD is a pediatric radiology radiology in Syracuse, NY. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Gary M Amundson, MD NPI is 1720031446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210-342
Phone: (315) 464-7433

The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085P0229X	Radiology	Pediatric Radiology	MD420848	PENNSYLVANIA	No
2	2085P0229X	Radiology	Pediatric Radiology	46808-020	WISCONSIN	No
3	2085P0229X	Radiology	Pediatric Radiology	21983	NEBRASKA	No
4	2085P0229X	Radiology	Pediatric Radiology	42387	MINNESOTA	No
5	2085P0229X	Radiology	Pediatric Radiology	4301053830	MICHIGAN	No
6	2085P0229X	Radiology	Pediatric Radiology	35.043846	OHIO	No
7	2085P0229X	Radiology	Pediatric Radiology	28490	SOUTH CAROLINA	No
8	2085P0229X	Radiology	Pediatric Radiology	MD00047561	WASHINGTON	No
9	2085P0229X	Radiology	Pediatric Radiology	41082	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50019410	OTHER		PASSPORT
2	000000565302	OTHER	KENTUCKY	ANTHEM/NORTON
3	3525222000	OTHER		PASSPORT ADVANTAGE
4	00533040	OTHER	KENTUCKY	MEDICARE
5	096386	OTHER		SIHO
6	0000230324	OTHER	KENTUCKY	HUMANA
7	64037203	OTHER	KENTUCKY	MEDICAID
8	200331670	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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