| Robert J Gunderson, DO | |
|
2116 W Iowa Ave, Chickasha, OK 73018-2736 | |
| (405) 224-2100 | |
| (405) 779-2801 |
| Full Name | Robert J Gunderson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 2116 W Iowa Ave, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598748907 | NPI | - | NPPES |
| 100257690B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 3030 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Home Health Care, Inc | Chickasha, OK | Home health agency |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady Memorial Hospital | 0648175778 | 39 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Gunderson Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548674211 PECOS PAC ID: 6800018714 Enrollment ID: O20141110000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Gunderson, DO 2116 W Iowa Ave, Chickasha, OK 73018-2736 Ph: () - | Robert J Gunderson, DO 2116 W Iowa Ave, Chickasha, OK 73018-2736 Ph: (405) 224-2100 |
Tariq Bin Masud Niazi, MD, FRCSI, MSC, FICS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2896 | |
Lee Vanderlugt, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-5359 | |
Dr. James E. Winslow Ii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3309 W Iowa Ave, Chickasha, OK 73018 Phone: 495-224-8885 Fax: 405-222-2757 |