MS. KAREN MARIE GUNDERSON (NPI# 1205090115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090115 |
| Entity Type | Individual |
| Full Name | MS. KAREN MARIE GUNDERSON |
| Credential | PA-C |
| Practice Address |
6002 Professional Pkwy Suite 220 Douglasville GA 30134-5600 |
| Mailing Address |
1700 Hospital South Dr Suite 300 Austell GA 30106-6810 |
| Practice Telephone | 6787159690 |
| Practice Fax Number | 6785817140 |
| Mailing Telephone | 7709442830 |
| Mailing Fax Number | 6785817170 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005634 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI NUMBER | 1205090115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609189588 | Karen Martin Gunderson | Physician Assistant | 5366 Mendenhall Mall, Christ Community Health Services Inc, Memphis, TN 38115 | 2010-07-20 |
| Street Address |
6002 PROFESSIONAL PKWY SUITE 220 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670804 | John Nino | Otolaryngology | 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 | 2005-06-22 |
| 1083078414 | Kaycee Green | Specialist/Technologist | 6002 Professional Pkwy, Douglasville, GA 30134-5600 | 2016-04-12 |
| 1427369727 | Diane L Kaplan | Audiologist | 6002 Professional Pkwy, 100, Douglasville, GA 30134-5600 | 2010-07-01 |
| 1629399555 | Wellstar Bi-county Ent, LLC | Otolaryngology | 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 | 2010-06-15 |
| 1790813749 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 6002 Professional Pkwy, Ste 220, Douglasville, GA 30134-5600 | 2007-03-01 |
| 1164566196 | Christopher Michael Burket | Orthopaedic Surgery | 6002 Professional Pkwy, Douglasville, GA 30134-5600 | 2007-02-15 |
| 1376559856 | Eddie D. Coverson | Physical Therapist | 6002 Professional Pkwy, Suite 140, Douglasville, GA 30134-5600 | 2006-08-01 |
| 1740239730 | George G Mygatt | Urology | 6002 Professional Pkwy, Suite 280, Douglasville, GA 30134-5600 | 2006-05-08 |
| 1649259599 | Helen Rosemary Stockwell | Nurse Practitioner | 6002 Professional Pkwy, Suite 200, Douglasville, GA 30134-5600 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003358615 | Kristen Reed | Physician Assistant | 4904 Timber Ridge Dr Ste 101, Douglasville, GA 30135-1831 | 2016-11-14 |
| 1669657128 | Aminifu Sadifu Carr | Physician Assistant | 4990 Wynford Ln, Douglasville, GA 30134-8012 | 2008-01-03 |
| 1376601948 | Jannet Maureen Morais | Physician Assistant | 8901 Stonebridge Blvd., Suite 100, Douglasville, GA 30134 | 2006-12-05 |
| 1568920353 | Courtney Noelle Batchelor | Physician Assistant | 6002 Professional Pkwy Ste 220, Douglasville, GA 30134-5627 | 2019-03-11 |
| 1679630602 | Bolynthia Denise Singleton | Physician Assistant | 8954 Hospital Dr, 100-c, Douglasville, GA 30134-2272 | 2007-01-02 |
| 1194715433 | Pamela Landers | Physician Assistant | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on MS. KAREN MARIE GUNDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.