NPI age
15 years
Enumerated 2010-06-25
● Active
Type 1 · Individual
Jason Bill Gundersen, MD
Gundersen is 1 of 27 obstetrics & gynecology providers in Idaho Falls and 1 of 228 in Idaho.
Primary specialty
Obstetrics & Gynecology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 228 active obstetrics & gynecology providers in Idaho.
NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
42% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Practice location
3450 Potomac Way
Idaho Falls, ID 834044970
Mailing address
3450 Potomac Way
Idaho Falls, ID 834044970
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1841501731 |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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