GUNDERSEN CLINIC, LTD. (NPI# 1588604342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588604342 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC, LTD. |
| Other Organization Name | GL WINONA CLINIC |
| Practice Address |
111 E Riverfront St Winona MN 55987-3456 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087758025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN CLINIC, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| GL WINONA CLINIC | Other Name - Individual/Organization |
| GL Winona Sports Medicine Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137660 | Gundersen Clinic, Ltd. | Clinic/Center | 1500 Peebles Dr, Richland Center, WI 53581-2940 | 2007-04-26 |
| 1730129446 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 121 East Main Street, Ossian, IA 52161 | 2006-06-08 |
| 1023064078 | Gundersen Clinic, Ltd. | Clinic/Center | 118 S Marquette Rd, Prairie Du Chien, WI 53821-1640 | 2006-05-25 |
| 1164477675 | Gundersen Clinic, Ltd. | Clinic/Center | 111 S Reynolds, Postville, IA 52162 | 2006-05-23 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1417902933 | Gundersen Clinic, Ltd. | Clinic/Center | 50 North 4th Street, Lansing, IA 52151 | 2006-05-23 |
| 1114971751 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-19 |
| 1497708044 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-05-17 |
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| 1528019106 | Gundersen Clinic, Ltd. | Clinic/Center | 505 Center St, Wonewoc, WI 53968-9002 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN CLINIC, LTD. | 1836 South Avenue, La Crosse, WI 54601 |
| Street Address |
111 E RIVERFRONT ST |
| City | WINONA |
| State | MN |
| Zip Code | 55987-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952719296 | Jessica Pawlik | Physical Therapist | 3650 Plymouth Blvd Ste 100, Plymouth, MN 55446-3201 | 2014-07-31 |
| 1427499631 | Jonathan D Conway | Physical Therapist | 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344-7334 | 2013-07-16 |
| 1144492083 | Twin Cities Spine & Sports, Pllc | Physical Therapist | 6409 City West Pkwy, Suite 100, Eden Prairie, MN 55344-7845 | 2008-04-01 |
| 1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
| 1508969551 | Rusty Wallman | Physical Therapist | 7872 Century Boulevard, Chanhassen, MN 55317 | 2006-09-06 |
| 1245279306 | Peter S. Ames | Physical Therapist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-06-05 |
| 1912475450 | Jennifer Arnold | Physical Therapist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-11-02 |
| 1942787049 | Taylor Jon Mcwilliams | Physical Therapist | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2018-07-23 |
| 1912322835 | Rebecca A Jorgenson | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2014-02-28 |
| 1740591700 | Travis Collin Gunderson | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-06-24 |
| Find all providers with the same taxonomy | ||||
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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.