DR. ERIK WILLIAM GUNDERSON (NPI# 1316033350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316033350 |
Entity Type | Individual |
Full Name | DR. ERIK WILLIAM GUNDERSON |
Credential | M.D. |
Practice Address |
1007 E High Street Center for Wellness and Change, LLC Charlottesville VA 22902 |
Mailing Address |
1702 Yorktown Drive Charlottesville VA 22901 |
Practice Telephone | 4342028612 |
Practice Fax Number | 4343215181 |
Mailing Telephone | 4342028612 |
Mailing Fax Number | 4343215181 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 212008 | NY | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101244180 | VA | Allopathic & Osteopathic Physicians |
Y | 2083A0300X | 0101244180 | VA |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972158210 | Erik Gilbert Gunderson | Pharmacist | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-05 |
1093758567 | Erik W. Gunderson | Obstetrics & Gynecology | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2006-06-13 |
Street Address |
1007 E HIGH STREET CENTER FOR WELLNESS AND CHANGE, LLC |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
Find all providers in zip 22902 |
City | CHARLOTTESVILLE |
Zip Code | 22902 |
Please comment or provide details below to improve the information on DR. ERIK WILLIAM 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.