GARY M AMUNDSON MD
NPI 1720031446
Radiology - Pediatric Radiology in Syracuse, NY

Q: What is Gary Amundson's NPI number?

The NPI number for Gary Amundson is 1720031446. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Gary Amundson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Gary Amundson was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2006

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-7433 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary M Amundson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY M AMUNDSON MD (NPI 1720031446) is an individual pediatric radiology provider in Syracuse, New York, licensed in Kentucky (41082) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1720031446

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameGARY M AMUNDSONCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2342

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (316) 464-7433

Phone(315) 464-7433

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJanuary 24, 2013

✔ NPI 1720031446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Licenses✔ Licensed in KY · 41082✔ Licensed in PA · MD420848✔ Licensed in WI · 46808-020✔ Licensed in NE · 21983✔ Licensed in MN · 42387✔ Licensed in MI · 4301053830✔ Licensed in OH · 35.043846✔ Licensed in SC · 28490✔ Licensed in WA · MD00047561

Definition

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.

750 E ADAMS ST, Syracuse, NY 13210

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Other Identifiers 8

Other50019410Passport

Other000000565302KY · Anthem/norton

Other3525222000Passport Advantage

Other00533040KY · Medicare

Other096386Siho

Other0000230324KY · Humana

Other64037203KY · Medicaid

Medicaid200331670IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD

Physical Medicine & Rehabilitation