Individual provider Active NPI

Seth Harris Gunderson, D.O.

  • Critical Care Medicine (Anesthesiology) Physician
  • Springfield, OR
National Provider Identifier
1538483292
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
DO196056 Issued in OR
Practice address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone
(541) 222-3154
NPI assigned
Mar 23, 2010
Last updated
Dec 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OT-012832 PA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X OS015318 PA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X DO196056 OR Primary

Addresses

Primary practice location

3333 Riverbend Dr
Springfield, OR 97477-8800

Mailing address

PO Box 7247
Springfield, OR 97475-0011
Phone (541) 686-9551

Other practice location 1

250 College Ave
Lancaster, PA 17603
Phone (717) 782-3282

Other identifiers 1

IdentifierTypeStateIssuer
1009507390002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140828000918 PA Practitioner - Anesthesiology 8325277353 Reassigns benefits to 3 organizations
I20191227000111 OR Practitioner - Anesthesiology 8325277353 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians
Northwest Anesthesia Physicians PCGroup PAC ID 3274420138, 93 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 744-8613

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT-012832PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Community Anesthesia Associates, LTD. Anesthesiology CurrentSince Jul 13, 2015 Accepting new patients
McKenzie Physician Services LLC CurrentSince Jan 10, 2025 Accepting new patients
Sound Physicians Intensivists of Washington PLLC CurrentSince Sep 22, 2023 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 14, 2018 Accepting new patients
Peacehealth CurrentSince Aug 14, 2022 Accepting new patients
Northwest Anesthesia Physicians PC Anesthesiology CurrentSince Dec 16, 2019 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 14, 2018 Accepting new patients

Locations

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

Interoperability endpoints

  • Direct secure messaging: sgunde02@yourcarecommunity.org
  • Direct secure messaging: sgunderson426078@direct.peacehealth.org

Organizations & group practices 9

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1538483292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7247",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750011",
            "telephone_number": "541-686-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 College Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "17603",
            "country_code": "US",
            "telephone_number": "717-782-3282",
            "fax_number": "717-231-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "SETH",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OT-012832",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "PA",
            "license": "OS015318",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OR",
            "license": "DO196056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009507390002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.