Gary M Amundson, MD - Radiology in Syracuse, NY

Gary M Amundson, MD is a Radiology - Pediatric Radiology physician based in Syracuse, New York. Gary M Amundson is licensed to practice in Kentucky (license number 41082) and his current practice location is 750 E Adams St, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 464-7433.

NPI number for Gary M Amundson is 1720031446 and his current mailing address is 750 E Adams St, Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720031446.

Contact Information

Gary M Amundson, MD
750 E Adams St,
Syracuse, NY 13210-2342
(315) 464-7433
Not Available

Map and Direction




Physician's Profile

Full NameGary M Amundson
GenderMale
SpecialityRadiology - Pediatric Radiology
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720031446
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 01/24/2013

Medical Identifiers

Medical identifiers for Gary M Amundson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720031446NPI-NPPES
64037203OtherKYMEDICAID
000000565302OtherKYANTHEM/NORTON
00533040OtherKYMEDICARE
3525222000OtherPASSPORT ADVANTAGE
50019410OtherPASSPORT
096386OtherSIHO
200331670MedicaidIN
0000230324OtherKYHUMANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology MD420848 (Pennsylvania)Secondary
2085P0229XRadiology - Pediatric Radiology 46808-020 (Wisconsin)Secondary
2085P0229XRadiology - Pediatric Radiology 21983 (Nebraska)Secondary
2085P0229XRadiology - Pediatric Radiology 42387 (Minnesota)Secondary
2085P0229XRadiology - Pediatric Radiology 4301053830 (Michigan)Secondary
2085P0229XRadiology - Pediatric Radiology 35.043846 (Ohio)Secondary
2085P0229XRadiology - Pediatric Radiology 28490 (South Carolina)Secondary
2085P0229XRadiology - Pediatric Radiology MD00047561 (Washington)Secondary
2085P0229XRadiology - Pediatric Radiology 41082 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary M Amundson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary M Amundson, MD
750 E Adams St,
Syracuse, NY 13210-2342

Ph: (316) 464-7433
Gary M Amundson, MD
750 E Adams St,
Syracuse, NY 13210-2342

Ph: (315) 464-7433

Reviews and Comments


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