Healthcare Provider Details

I. General information

NPI: 1508856915
Provider Name (Legal Business Name): RICHARD H GUNNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GREENWICH RD UNIT 8
NORTON OH
44203-5781
US

IV. Provider business mailing address

3515 MASSILLON RD STE 300
UNIONTOWN OH
44685-7854
US

V. Phone/Fax

Practice location:
  • Phone: 330-825-7468
  • Fax: 330-634-1329
Mailing address:
  • Phone: 234-271-3353
  • Fax: 330-331-7587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35-063883
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: