JOHN GUNSELMAN (NPI# 1194953125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194953125 |
| Entity Type | Individual |
| Full Name | JOHN GUNSELMAN |
| Credential | D.O. |
| Practice Address |
24076 Se Stark St Suite 310 Gresham OR 97030 |
| Practice Telephone | 5034926510 |
| Mailing Telephone | 5034926510 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | DO171400 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690984 | John Wallace Gunselman | Dentist | 218 Denison Pkwy E, Suite 201, Corning, NY 14830-2813 | 2007-07-10 |
| Street Address |
24076 SE STARK ST SUITE 310 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070873 | Shammai Rockove | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2005-08-16 |
| 1538659578 | Claire Valentine | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030 | 2018-05-15 |
| 1598289282 | Stephen Matthew Block | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030-3373 | 2017-08-03 |
| 1114479458 | Anna Lee | Physician Assistant | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2016-11-03 |
| 1265801070 | Patrick Clinton | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2015-09-22 |
| 1932548161 | Jenna Lee Esterberg | Physician Assistant | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2013-06-20 |
| 1922371947 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2012-02-22 |
| 1225311210 | Shelley Piers-vanderploeg | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2011-09-26 |
| 1932497518 | Christina Doughty | Physician Assistant | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 | 2011-07-15 |
| 1205130473 | Jennifer Robyn Briggs | Audiologist | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2011-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1255381455 | Kent C Toland | Urology | 24076 Se Stark St Ste 310, Gresham, OR 97030-3386 | 2006-05-11 |
| 1891760252 | Robert L Kalez | Urology | 24900 Se Stark St Ste 208, Gresham, OR 97030-3382 | 2006-02-21 |
| 1720070873 | Shammai Rockove | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2005-08-16 |
| 1467895342 | Varun Sundaram | Urology | 24076 Se Stark St Ste 310, Gresham, OR 97030 | 2013-04-10 |
| 1710110127 | Robert L Kalez Md PC | Urology | 24900 Se Stark St, 208, Gresham, OR 97030-3355 | 2009-09-02 |
| 1487847554 | Melanie Ann Crites-bachert | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
| 1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
| 1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
| 1952567653 | Oregon Urology Clinic, P.C. | Urology | 3100 Ne 28th Street Suite C, Lincoln City, OR 97367-4518 | 2008-08-01 |
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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.