JAMIE HAFERBIER GUSTAFSON (NPI# 1235458357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235458357 |
| Entity Type | Individual |
| Full Name | JAMIE HAFERBIER GUSTAFSON |
| Credential | MD |
| Practice Address |
2540 N Healthy Way Fremont NE 68025-2315 |
| Practice Telephone | 4027213133 |
| Mailing Telephone | 4027213133 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 7386 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
2540 N HEALTHY WAY |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831317346 | Jacob Anthony Wiesen | General Practice | 2540 N Healthy Way, Fremont, NE 68025-2315 | 2007-04-22 |
| 1053858860 | Fremont Health Clinic | Physician Assistant | 2540 N Healthy Way, Fremont, NE 68025-2315 | 2017-01-31 |
| 1841737467 | Brittany N Burbach | Nurse Practitioner | 2540 N Healthy Way, Fremont, NE 68025-2315 | 2017-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An 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 physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245618115 | Jennie Garcia | Obstetrics & Gynecology | 1999 Mowry Ave Ste N, Fremont, CA 94538-1723 | 2015-05-12 |
| 1295008829 | Padmaja Sharma Md Inc | Obstetrics & Gynecology | 3885 Beacon Ave Ste A, Fremont, CA 94538-1462 | 2012-02-13 |
| 1508980566 | Sudeepthi H.b. Prasad | Obstetrics & Gynecology | 2299 Mowry Ave Ste 3a, Fremont, CA 94538-1621 | 2007-03-16 |
| 1669525929 | Women Caring for Women LLC | Obstetrics & Gynecology | 595 Bartson Rd, Fremont, OH 43420-8536 | 2007-01-19 |
| 1114995073 | Stanley Carr | Obstetrics & Gynecology | 1922 Glen Springs Dr, Fremont, OH 43420-3229 | 2006-03-08 |
| 1053388207 | Gene M Barrie Md Inc | Obstetrics & Gynecology | 2299 Mowry Avenue, Suite 3a, Fremont, CA 94538-1621 | 2006-03-07 |
| 1770558801 | Gerald Keasling | Obstetrics & Gynecology | 700 E 29th St, Fremont, NE 68025-2384 | 2006-02-22 |
| 1396726295 | Siobhan Calhoun | Obstetrics & Gynecology | 2299 Mowry Ave, #3c, Fremont, CA 94538-1621 | 2005-11-08 |
| 1508859638 | Kurt Dudley Harrison | Obstetrics & Gynecology | 1922 Glen Springs Dr., Fremont, OH 43420 | 2005-08-24 |
| 1780684761 | Shakira Baig Karipineni | Obstetrics & Gynecology | 1860 Mowry Ave Ste 201, Fremont, CA 94538-1730 | 2005-07-29 |
| Find all providers in FREMONT | ||||
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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.