Active NPI
Jeffrey Gunderson, M.D.
- Anesthesiology Physician
- Springfield, MO
National Provider Identifier
1023052602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MDR8F95
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-4550
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MDR8F95 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
1000 E Primrose St
Springfield, MO 65807-5180
Phone (417) 269-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202339404 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR8F95 | MO | MD | Anesthesiology Physician |
Interoperability endpoints
- jeffrey.gunderson.p1@direct.jordanvalley.nextgenshare.com
- jeffrey.gunderson@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1023052602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075180",
"telephone_number": "417-269-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "MDR8F95",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202339404",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.