Glen Arthur Gunderson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5287 Issued in FL

Practice address

5111 Erhlich Road
Suite 128
Tampa, FL 33624

Phone

(813) 960-2225

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Northwestern College of Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jachimek Chiropractic Clinic, P.a.

  • Chiropractor
  • Tampa, FL
  • NPI 1316128739
  Medicare reassignment NPD
• Jachimek Wellness Center

  dba Jachimek Chiropractic

  • Chiropractor
  • Tampa, FL
  • NPI 1013779925
  Medicare reassignment NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891865168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 AUBURN WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ERHLICH ROAD",
            "address_2": "SUITE 128",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "813-960-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "GLEN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalini Gumbs, APRN
• Margaret A Gummoe, LCSW
• Christine Gummow
• Sivaselvi Gunasekaran, M.D.
• John Richard Gunderman, M.D.
• Annilea Gunn, MD
• Christiana Gunn
• Gabriana Gunn
• Kerri Lawrence Gunn, LMHC
• Whitney Gunn, LPN

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.