ERIK W. GUNDERSON M.D. – NPI #1316033350
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

ERIK GUNDERSON is a physician located in CHARLOTTESVILLE, VA. NPPES has assigned the NPI number 1316033350 to ERIK GUNDERSON on October 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Jul 23, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERIK GUNDERSON below.

NPI Profile for
ERIK W. GUNDERSON

NPI Number
1316033350
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ERIK W. GUNDERSON
Credentials
M.D.
Primary location
1007 E HIGH STREET
CENTER FOR WELLNESS AND CHANGE, LLC
CHARLOTTESVILLE, VA 22902
Phone: (434) 202-8612 Fax: (434) 321-5181
Mailing address
1702 YORKTOWN DRIVE
CHARLOTTESVILLE, VA 22901
Phone: (434) 202-8612 Fax: (434) 321-5181
Sole Proprietor
No
Updated
Certification Date
Jul 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
VA 0101244180
2084P0800X
- Psychiatry & Neurology / Psychiatry
VA 0101244180
207R00000X
- Internal Medicine
NY 212008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.