Active NPI
Karen Martin Gunderson, PA
- Physician Assistant
- Memphis, TN
National Provider Identifier
1609189588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1844
- Practice address
- 5366 Mendenhall Mall
Christ Community Health Services Inc
Memphis, TN 38115 - Phone
- (901) 271-6100
- Fax
- (901) 271-6199
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1844 | TN | Primary |
Addresses
Primary practice location
5366 Mendenhall Mall
Christ Community Health Services Inc
Memphis, TN 38115
Mailing address
2595 Central Avenue
Christ Community Health Services Inc
Memphis, TN 38104
Phone (901) 260-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518893 | Medicaid | TN |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1609189588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 CENTRAL AVENUE",
"address_2": "CHRIST COMMUNITY HEALTH SERVICES INC",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-260-8551",
"fax_number": "901-260-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5366 MENDENHALL MALL",
"address_2": "CHRIST COMMUNITY HEALTH SERVICES INC",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38115",
"telephone_number": "901-271-6100",
"fax_number": "901-271-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "KAREN",
"middle_name": "MARTIN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518893",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.