JOHN O PUNDERSON MD
NPI 1093726077
Family Medicine in West St Paul, MN

Active since August 11, 2006
234 WENTWORTH AVE E, WEST ST PAUL, MN 55118(651) 455-2940(651) 455-3354 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John O Punderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN O PUNDERSON MD (NPI 1093726077) is an individual family medicine provider in West St Paul, Minnesota, licensed in Minnesota (23358) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093726077
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN O PUNDERSONCredential: MD
Location Address234 WENTWORTH AVE EWest St Paul, MN 55118-3525
Mailing Address2025 Sloan Pl, Suite 35Saint Paul, MN 55117-2007 · (651) 772-1572 · Fax (651) 772-1889
Fax(651) 455-3354
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 14, 2011
NPI 1093726077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 23358
Definition
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.
234 WENTWORTH AVE E, West St Paul, MN 55118

Other Identifiers 2

Medicare UPINA95810
Medicaid418588900MN

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
234 WENTWORTH AVE E
SAINT PAUL, MN 55118
Nurse Practitioner
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Physician Assistant
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Non-Pharmacy Dispensing Site
234 WENTWORTH AVE E
WEST ST PAUL, MN 55118
Nurse Practitioner (Family)
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Family Medicine
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Pharmacist (Ambulatory Care)
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Family Medicine
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Punderson's NPI number?

The NPI number for John Punderson is 1093726077. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is John Punderson located?

John Punderson practices at 234 Wentworth Ave E, West St Paul, MN 55118. The listed phone number is (651) 455-2940.

What is John Punderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Punderson was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.