PAUL L. GUNDERSON (NPI# 1346260726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346260726 |
| Entity Type | Individual |
| Full Name | PAUL L. GUNDERSON |
| Credential | M.D. |
| Practice Address |
190 Groton Rd Ayer MA 01432-1124 |
| Practice Telephone | 9787724000 |
| Practice Fax Number | 9787723066 |
| Mailing Telephone | 9787724000 |
| Mailing Fax Number | 9787723066 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 33474 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2039141 | 05 | |
| NH | 99904033 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242502 | Paul Thomas Gunderson | Pediatrics | 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660-8904 | 2006-04-05 |
| Street Address |
190 GROTON RD |
| City | AYER |
| State | MA |
| Zip Code | 01432-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630988 | Jeffrey P Arpin | Surgery | 190 Groton Rd, Ste 210, Ayer, MA 01432-1124 | 2005-06-27 |
| 1508308669 | Ayer Dermatology P.C. | Dermatology | 190 Groton Rd, Suite 180, Ayer, MA 01432-1124 | 2016-11-07 |
| 1184030488 | Christa L. Maxant, Inc. | Community/Behavioral Health | 190 Groton Rd, Suite 230, Ayer, MA 01432-1124 | 2014-07-08 |
| 1528495835 | Michael J. Older, Md PC | Specialist | 190 Groton Rd, Suite 190, Ayer, MA 01432-1124 | 2013-10-01 |
| 1407194319 | Apderm Nashoba, PC. | Dermatology | 190 Groton Rd, Suite 120, Ayer, MA 01432-1124 | 2013-01-28 |
| 1962767541 | Gisela Velez, M.d., LLC | Specialist | 190 Groton Rd, Suite 240, Ayer, MA 01432-1124 | 2012-07-10 |
| 1700156239 | Middlesex Gasteroentology PC | Clinic/Center | 190 Groton Rd, 190, Ayer, MA 01432-3205 | 2011-12-30 |
| 1679855506 | Peter Muz, M.d., P.C. | Dermatology | 190 Groton Rd, Suite 290, Ayer, MA 01432-1124 | 2011-09-16 |
| 1215218193 | Michael V. Elman M.d., P.C. | Orthopaedic Surgery | 190 Groton Rd, Suite 170, Ayer, MA 01432-1124 | 2011-09-06 |
| 1154575058 | Michael V. Elman M.d., P.C. | Orthopaedic Surgery | 190 Groton Rd, Suite 170, Ayer, MA 01432-1124 | 2008-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467605378 | Linda Thompson Ward | Counselor | 11 Depot Square, Advocates, Ayer, MA 01432 | 2008-10-23 |
| 1841339637 | Robert O Voight | Preventive Medicine | 200 Gratar Road, Ayer, MA 01432 | 2007-02-06 |
| 1548319957 | Sally Floyd | Counselor | 34 Main Street, Ayer, MA 01432 | 2007-01-09 |
| 1598794505 | Theresa Piotrowski | Family Medicine | 190 Groton Rd Ste 200, Ayer, MA 01432 | 2006-07-02 |
| 1629016928 | Karl A Bernhard | Family Medicine | 42 Patton Rd., Devens Fed. Med. Center, Devens, MA 01432 | 2006-06-02 |
| 1134177546 | Kenneth A Janes | Surgery | 190 Groton Road, Suite 210, Ayer, MA 01432 | 2006-05-05 |
| 1619943222 | Charles D Howard | Ophthalmology | 42 Patton Road, Federal Medical Center Devens, Ayer, MA 01432 | 2006-02-23 |
| 1952391849 | Amjad Husain | Internal Medicine | 200 Groton Road, Ayer, MA 01432 | 2005-10-24 |
| 1578552964 | Central Ma Cardiovascular Physicians Inc | Internal Medicine | 198 Groton Road, Ste 4, Ayer, MA 01432 | 2005-10-18 |
| 1467441857 | Adam W Cerel | Internal Medicine | 198 Groton Rd, Ste 4, Central Ma Cardiovascular Physicians, Inc, Ayer, MA 01432 | 2005-10-18 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943222 | Charles D Howard | Ophthalmology | 42 Patton Road, Federal Medical Center Devens, Ayer, MA 01432 | 2006-02-23 |
| 1396755823 | Valley Eye Physicians and Surgeons, P.C. | Ophthalmology | 190 Groton Rd, Suite 240, Ayer, MA 01432-1124 | 2006-08-08 |
| 1104849777 | Steven R. Brusie | Ophthalmology | 190 Groton Rd, Ayer, MA 01432-1124 | 2006-07-25 |
| 1639119167 | Gisela Velez | Ophthalmology | 190 Groton Rd, Suite 240, Ayer, MA 01432-1124 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| 1629622188 | Nsea Whaipa LLC | Ophthalmology | 669 Main Street, Wakefield, MA 01880-5221 | 2019-08-01 |
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1467968149 | D'ambrosio Eye Care, Inc. | Ophthalmology | 255 Park Ave Ste 606, Worcester, MA 01609-1930 | 2017-12-18 |
| 1114436151 | Mohammad-hossein Mohammad-shahi | Ophthalmology | 330 Brookline Ave # Cc522, Boston, MA 02215-5400 | 2017-09-21 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1306360912 | Mary-magdalene Dodd | Ophthalmology | 300 Longwood Ave # 4, Boston, MA 02115-5724 | 2017-07-26 |
| 1861925703 | Medical Eye Care Associates, P.C. | Ophthalmology | 95 Chapel St Ste 1a, Norwood, MA 02062-3161 | 2017-04-07 |
| 1548619851 | Si-liang Peng | Ophthalmology | 1101 Beacon St Ste 6, Brookline, MA 02446-5585 | 2016-06-07 |
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| 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.