Elizabeth Michelle Gunderson, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD60947927 Issued in WA

Practice address

1204 N Vercler Rd
Spokane Valley, WA 99216-1020

Phone

(509) 228-1000

Fax

(509) 252-9300

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Michelle Ronish Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/Oncology

Education

University of South Alabama College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
• Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327
• Coulee Medical Center Hospital, Grand Coulee, WA, CCN 501308

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cancer Care Northwest Centers P S

  • Hematology & Oncology Physician
  • Spokane Valley, WA
  • NPI 1922072081

  Medical Oncology, WA

  Medicare reassignment Care Compare group NPD
• Cancer Care Northwest Centers P S

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
  • NPI 1144900705
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
  • NPI 1184844185

  Hospital

  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715

  Hospital

  Care Compare affiliation
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679

  Hospital

  Care Compare affiliation
• Public Hospital District No 3 of Whitman County

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448

  Hospital

  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1053401745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Harbour View Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352601",
            "country_code": "US",
            "telephone_number": "757-397-4200",
            "fax_number": "757-397-3872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "ELIZABETH",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD60947927",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101245367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RONISH",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mahoulome Harold Guidi
• Heather Guisinger, RN
• Christopher Steven Gullett Jr.
• Alejandra Jessica Gullion, ATC, LAT
• Mary V Gumaer
• Tiffany Leigh Gunderson, CRNA
• Molly A. Gunsaulis, D.D.S.
• Sudha S Gurusiddaiah-Turpin, RPH
• Leesa Gust, LMP
• Katherine Guthrie

• Medical Oncology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Medical Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.