DR. MARK R GUNDERSEN MD NPI 1952390106

NPI Information

  • NPI: 1952390106
  • Provider Name: DR. MARK R GUNDERSEN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 712 SOUTH CASCADE STREET
    FERGUS FALLS, MN
    ZIP 56537
  • Phone: (218) 736-8000

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NPI Details

DR. Mark R Gundersen, MD is a family medicine in Fergus Falls, MN with 37 years of experience. 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. Mark R Gundersen, MD NPI is 1952390106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537-813
Phone: (218) 736-8000
Fax: (218) 739-6742

The NPI 1952390106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Blood test, clotting time (HCPCS:85610)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Bacterial colony count, urine (HCPCS:87086)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 10/29/2019.

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 Medicine4301069187MICHIGANNo
2207Q00000XFamily Medicine35677MINNESOTAYes

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
14540600MEDICAIDMICHIGAN
2C4258OTHERMICHIGANMCARE
3F31478OTHERMICHIGANHEALTH NET FEDERAL
4010G56026OTHERMICHIGANHEALTH PLUS
50802502771OTHERMICHIGANBLUE CROSS BLUE SHIELD
6204375OTHERMICHIGANMCLAREN HEALTH PLAN
7F31478OTHERMICHIGANHEALTH ALLIANCE PLAN
8080093188OTHERMICHIGANMETRAHEALTH
9080D410020OTHERMICHIGANBLUE CROSS BLUE SHIELD
107073962004OTHERMICHIGANCIGNA
11080D410020OTHERMICHIGANBLUE CARE NETWORK
12204375OTHERMICHIGANHEALTH ADVANTAGE NETWORK
135659321OTHERMICHIGANAETNA

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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