DR. KURT GUSTAVSON (NPI# 1225255086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225255086 |
| Entity Type | Individual |
| Full Name | DR. KURT GUSTAVSON |
| Credential | DPM |
| Practice Address |
6216 Whisper Ln Sw Lakewood WA 98499-1139 |
| Practice Telephone | 2539681613 |
| Mailing Telephone | 2539681613 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 99 | MT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE LICENSE | 99 | 01 |
| Street Address |
6216 WHISPER LN SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646979 | New West Physicians, P.C. | Podiatrist | 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 | 2020-07-20 |
| 1326571308 | Randi Jean Keefe | Podiatrist | 1312 Donald Ave, Lakewood, OH 44107-2851 | 2017-04-06 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| 1790931087 | Paul H Eisenberg, Dpm Inc | Podiatrist | 14900 Detroit Ave, Lakewood, OH 44107-3923 | 2008-08-18 |
| 1689719619 | Rosa Montemayor Dpm PC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2007-02-20 |
| 1235279993 | Michael Joseph Beauclair | Podiatrist | 1415 Blossom Park Ave, Lakewood, OH 44107-4401 | 2007-02-08 |
| 1568576528 | James F Eggold | Podiatrist | 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712-2761 | 2006-08-18 |
| 1154385284 | Paul Thomas Voegeli Jr. | Podiatrist | 165 South Union Boulevard, Suite 322, Lakewood, CO 80228-2211 | 2006-04-14 |
| 1619954302 | Ronald J Lancz | Podiatrist | 105 River Avenue, Building B Suite #303, Lakewood, NJ 08701 | 2005-12-23 |
| 1669465142 | Kristina Marie Kovach | Podiatrist | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2005-08-30 |
| Find all providers in LAKEWOOD | ||||
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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.