JENA B GUSTAFSON (NPI# 1275851362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275851362 |
| Entity Type | Individual |
| Full Name | JENA B GUSTAFSON |
| Credential | PA-C |
| Practice Address |
4308 Belmont Ave Youngstown OH 44505-1052 |
| Practice Telephone | 3307597038 |
| Practice Fax Number | 3307597071 |
| Mailing Telephone | 3307597038 |
| Mailing Fax Number | 3307597071 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003058 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4308 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554273 | Douglas J Smith Behn | Surgery | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2005-11-10 |
| 1538479886 | Nancy Ann Keslar | Nurse Practitioner | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2010-10-19 |
| 1811187735 | Pediatric Associates of Youngstown | Specialist | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2007-07-26 |
| 1356541650 | Pediatric Service Group | Legal Medicine | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2007-07-24 |
| 1548399744 | Adil N Jaffer Md Inc | Family Medicine | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2007-03-05 |
| 1750486122 | Betty Jane Einfault | Pediatrics | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2006-09-13 |
| 1982710638 | Khalid Iqbal | Pediatrics | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2006-08-22 |
| 1508972332 | Riffat Preveen Iqbal | Pediatrics | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2006-08-22 |
| 1598733248 | Abdul Ghani | Surgery | 4308 Belmont Ave, Youngstown, OH 44505-1052 | 2006-03-09 |
| 1801867627 | Khalid A Habo | Pediatrics | 4308 Belmont Ave, Suite 2, Youngstown, OH 44505-1052 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664584 | Jaclyn Taylor Jones | Physician Assistant | 1001 Belmont Ave Ste C, Youngstown, OH 44504-1003 | 2020-03-19 |
| 1629356837 | Miquita C Hosey | Physician Assistant | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2011-07-22 |
| 1497725188 | Jocelyn Rae Kimmel | Physician Assistant | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-01-25 |
| 1841296084 | Craig A Morrison | Physician Assistant | 540 Parmalee Ave Ste 510, Youngstown, OH 44510-1605 | 2005-06-22 |
| 1255979779 | Rajendra P Koirala, M.d., LLC | Physician Assistant | 725 Boardman Canfield Rd Ste L1, Youngstown, OH 44512-4370 | 2019-12-16 |
| 1093350688 | Sofia Accordino | Physician Assistant | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-11-07 |
| 1265076764 | Tyler Tsangaris-braatz | Physician Assistant | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-10-29 |
| 1770125262 | Nicolette Marie Arnoto | Physician Assistant | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-10-16 |
| 1598249765 | Victoria Danielle Puckett | Physician Assistant | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2018-09-24 |
| 1932687522 | Taylor Marie Murphy | Physician Assistant | 1340 Belmont Ave, Youngstown, OH 44504-1125 | 2018-08-06 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
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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.