DR. JASEN W GUNDERSEN M.D. NPI 1881677789

NPI Information

  • NPI: 1881677789
  • Provider Name: DR. JASEN W GUNDERSEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 119 BELMONT ST
    DEPARTMENT OF FAMILY HOSPITAL MEDICINE
    WORCESTER, MA
    ZIP 01605
  • Phone: (508) 334-5571

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NPI Details

DR. Jasen W Gundersen, M.D. is a family medicine in Worcester, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jasen W Gundersen, M.D. NPI is 1881677789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

119 BELMONT ST
DEPARTMENT OF FAMILY HOSPITAL MEDICINE
WORCESTER, MA
ZIP 01605-903
Phone: (508) 334-5571

The enumeration date for this NPI number is 11/23/2005 and was last updated on 12/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine212168MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10192350MEDICAIDMASSACHUSETTS
2H57789MEDICARE UPINMASSACHUSETTS
3GU A33731MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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