MR. WILLIAM GUNDERSEN (NPI# 1669097689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669097689 |
Entity Type | Individual |
Full Name | MR. WILLIAM GUNDERSEN |
Credential | RDCS |
Practice Address |
64 Rowena Rd Newton Center MA 02459-2440 |
Practice Telephone | 6176990072 |
Mailing Telephone | 6176990072 |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
64 ROWENA RD |
City | NEWTON CENTER |
State | MA |
Zip Code | 02459-2440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
Find all providers in zip 02459 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726716 | Patrick James Manders | Technician/Technologist | 52 Porter St Apt 1, Somerville, MA 02143-2318 | 2020-09-28 |
1750346771 | Empire Vision Center Inc | Technician/Technologist | 700 Boston Rd, Billerica, MA 01821-5316 | 2006-04-20 |
1215915491 | Teresa Marshall-bradbury | Technician/Technologist | 100 Grove St Ste B-8, Worcester, MA 01605-2627 | 2006-01-06 |
1396353256 | Emma K Iwan | Technician/Technologist | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
1619436003 | Stefani Bonetti | Technician/Technologist | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-03-15 |
1821569047 | Sarah Thibodeau | Technician/Technologist | 21 Highland Ave Ste 16, Newburyport, MA 01950-3873 | 2018-12-16 |
1255807863 | Nerijus Rackauskas | Technician/Technologist | 800 Washington St, Boston, MA 02111-1552 | 2018-10-22 |
1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
1912118423 | Robin Seth Odentz | Technician/Technologist | 1964 Boston Rd, Wilbraham, MA 01095-1055 | 2007-05-25 |
1194940965 | Alice Mazzaferro | Technician/Technologist | 299 Carew St, Suite201, Springfield, MA 01104-2301 | 2007-04-16 |
Find all providers with the same taxonomy |
City | NEWTON CENTER |
Zip Code | 02459 |
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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.