Gunderson Orthopedics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GUNDERSON ORTHOPEDICS LLC

Practice address

1533 N Harrison St
Shawnee, OK 74804-4020

Phone

(405) 432-5117

NPI assigned

Jun 20, 2014

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert J Gunderson, DO

Title

Owner

Phone

(405) 312-7550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1548674211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248855",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044020",
            "telephone_number": "405-432-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSON ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-312-7550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lee Griffin, SLP-CCC
• Kortney Christine Griffin, LPN
• Pamela Grubb
• Bonnie Nadaene Grude
• Alaina Lee Guillory, APRN
• Angela Renee Gunn, FNP
• Kaitlyn Renee Gunter, PTA
• Phillip A. Haddad, M.D.
• Tristaan Haddad
• Walid John Haddad, M.D.

• Orthopaedic Surgery Physician in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.