Individual provider Active NPI

Robert J Gunderson, D.O.

  • Orthopaedic Surgery Physician
  • Chickasha, OK
National Provider Identifier
1598748907
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3030 Issued in OK
Practice address
2116 W Iowa Ave
Chickasha, OK 73018-2736
Phone
(405) 224-2100
Fax
(405) 779-2801
NPI assigned
Nov 21, 2005
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3030 OK Primary

Addresses

Primary practice location

2116 W Iowa Ave
Chickasha, OK 73018-2736

Mailing address

2116 W Iowa Ave
Chickasha, OK 73018-2736
Phone (405) 224-2100

Other identifiers 1

IdentifierTypeStateIssuer
100257690BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20060117000761 OK Practitioner - Orthopedic Surgery 7214926500 Reassigns benefits to 2 organizations
I20160411001352 TX Practitioner - Orthopedic Surgery 7214926500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady Memorial HospitalGroup PAC ID 0648175778, shared by 6 NPIs, 47 clinicians

Practice addresses (Care Compare)

2100 S Iowa Ave
Chickasha, OK 73018-2736
Phone (405) 224-2100

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone (405) 224-2100

2116 W Iowa Ave
Chickasha, OK 73018-2736
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 224-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement26
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1620NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 7, 2014 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince May 1, 2017 Accepting new patients
Grady Memorial Hospital Orthopaedic Surgery CurrentSince May 1, 2024 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
C H Wilkinson Physician Network Orthopaedic Surgery CurrentSince May 1, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients
Oklahoma Orthopedics & Sports Medicine PastSince May 11, 2004 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Nov 7, 2014 Accepting new patients

Locations

3101 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-3349

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

210 Mary Bailey
Chickasha, OK 73018
Phone (405) 222-9222

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2116 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2022

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 12

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 5

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1598748907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257690B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.