DAVID R. GUSTAFSON (NPI# 1205817871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205817871 |
Entity Type | Individual |
Full Name | DAVID R. GUSTAFSON |
Credential | DO |
Practice Address |
3507 Shady Bend Dr Independence MO 64052-2860 |
Practice Telephone | 8166518631 |
Mailing Telephone | 8166518631 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2011-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | R9B87 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306475363 | David Gustafson | Student in an Organized Health Care Education/Training Program | 900 Myrtle Ave Apt 2309, El Paso, TX 79901-1673 | 2020-04-02 |
1316379308 | David Leor Gustafson | Physical Therapist | 3935 Brian Jordan Pl, Ste 119, High Point, NC 27265-8036 | 2013-08-01 |
1871783027 | David Gustafson | Dentist | 1548 E 4500 S, Salt Lake City, UT 84117-4209 | 2007-07-25 |
1467574103 | David R Gustafson | Dentist | 3624 North Hills Drive, Suite A 201, Austin, TX 78731 | 2007-04-04 |
1952471989 | David Gustafson | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-08 |
1881771822 | David H Gustafson | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
Street Address |
3507 SHADY BEND DR |
City | INDEPENDENCE |
State | MO |
Zip Code | 64052-2860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
1548425127 | Harry S Truman Childrens Neurological Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 So. Englewood Terr., Independence, MO 64052 | 2008-07-23 |
1902084122 | Thomas F Bembynista | Podiatrist | 10612 E 18 St, Independence, MO 64052 | 2008-02-11 |
1558569103 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 S. Blue Ridge Blvd, Independence, MO 64052 | 2007-07-05 |
1861511859 | Heartland Medical Care PC | Clinic/Center | 10010 E Truman Road, Independence, MO 64052 | 2007-03-28 |
1720163496 | Regional Foot Centers Pa | Podiatrist | 10612 E 18th, Independence, MO 64052 | 2006-10-25 |
1396841771 | Connie Elaine Anderson | Chiropractor | 3501 S Sterling, Suite D, Independence, MO 64052 | 2006-09-15 |
1932201191 | Bruce L Duncan | Chiropractor | 10912 E Winner Road, Independence, MO 64052 | 2006-09-01 |
1447337472 | Tammy A Noller | Counselor | 10901 Winner Road, Independence, MO 64052-0169 | 2006-11-01 |
1033189816 | Bruno H Zwerenz | Psychiatry & Neurology | 10901 Winner Rd, Comprehensive Mental Health Services, Independence, MO 64052-0169 | 2006-01-25 |
Find all providers in zip 64052 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
1609154061 | Little Blue Emergency Physicians LLC | Emergency Medicine | 19300 East 39th Street, Independence, MO 64057 | 2011-08-02 |
1700057387 | Adult Quick Care, LLC | Emergency Medicine | 19000 E Eastland Center Ct, Independence, MO 64055-7022 | 2008-03-21 |
1932152543 | Alma P Navato | Emergency Medicine | 3345 S 291 Highway, Ste 301, Independence, MO 64067 | 2006-05-18 |
1487639332 | Curtis Birchall | Emergency Medicine | 5005 Rockside Rd, Suite 360, Independence, OH 44131-2194 | 2005-12-14 |
1437131208 | Aulton Dale Chisum | Emergency Medicine | 1509 W Truman Rd, Emergency Department, Independence, MO 64050-3436 | 2005-11-17 |
1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
1265827877 | Katelyn Harris | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2015-03-31 |
1144634148 | Angela Michele Vohs | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057 | 2014-06-17 |
1013259258 | Nicholas William Lewing | Emergency Medicine | Lallie Kemp Hospital, Independence, LA 70443 | 2013-03-26 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64052 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.