DR. TRACY LEE GUSTAFSON (NPI# 1295035863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295035863 |
| Entity Type | Individual |
| Full Name | DR. TRACY LEE GUSTAFSON |
| Credential | M.D. |
| Practice Address |
151 Rainbow Dr Apt #5152 Livingston TX 77399-1571 |
| Practice Telephone | 9369339593 |
| Practice Fax Number | 2817153202 |
| Mailing Telephone | 9369339593 |
| Mailing Fax Number | 2817153202 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2014-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G2143 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
G2143 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386854735 | Tracy Gustafson | Physical Therapist | 203 Whetstone Mls, Dayville, CT 06241-1832 | 2007-05-23 |
| 1508832056 | Tracy Michelle Gustafson | Social Worker | 1803 Whites Rd, Suite 5, Kalamazoo, MI 49008-2883 | 2006-02-24 |
| 1093230369 | Tracy Elaine Gustafson | Counselor | 160 Beechwood Ave, Pawtucket, RI 02860-5402 | 2017-08-08 |
| 1295277291 | Tracy Gustafson | Registered Nurse | 10203 E Mcdowell Mountain Ranch Rd, Scottsdale, AZ 85255-8600 | 2016-11-08 |
| Street Address |
151 RAINBOW DR APT #5152 |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77399-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053526400 | Annise Benoit Miller | Social Worker | 182 Rainbow Dr, #8287, Livingston, TX 77399 | 2007-05-11 |
| 1538372537 | Beth-michele Wargo | Advanced Practice Midwife | 139 Rainbow Dr # 13938, Livingston, TX 77399-0001 | 2007-05-07 |
| 1053435230 | Vivian Ray Sullivan | Nurse Practitioner | 255 Rainbow Dr # 15504, Livingston, TX 77399-0001 | 2007-03-16 |
| 1346370434 | Freddie Paul Hawley | Registered Nurse | 173 Rainbow Dr, #7364, Livingston, TX 77399-0001 | 2007-03-07 |
| 1891851713 | Therese Fuchs | Internal Medicine | 227 Rainbow Dr, Suite 12704, Livingston, TX 77399-0001 | 2006-12-28 |
| 1710910864 | Debra K. Merriman, Inc | Nurse Anesthetist, Certified Registered | 194 Rainbow Dr # 9427, Livingston, TX 77399-0001 | 2006-07-09 |
| 1275527012 | Muge A Cummings | Family Medicine | 136 Rainbow Dr # 3666, Livingston, TX 77399-0001 | 2005-09-08 |
| 1669502498 | Diane Juanita Hawley | Registered Nurse | 173 Rainbow Dr, #7364, Livingston, TX 77399-0001 | 2007-03-07 |
| 1558666248 | Gerald Ratinov Md Care P A | Psychiatry & Neurology | 132 Rainbow Dr, #3267, Livingston, TX 77399-1032 | 2011-01-11 |
| 1679711717 | Kelly Mcpfimeloronti | Psychologist | 137 Rainbow Dr, 3795, Livingston, TX 77399-1037 | 2009-01-28 |
| Find all providers in zip 77399 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798279 | Arlene D Karp | Pediatrics | 1 Drummond Ter, Livingston, NJ 07039-1103 | 2019-12-26 |
| 1568022804 | Leslie Magnus Miller | Pediatrics | 52 Westmount Dr, Livingston, NJ 07039-4228 | 2019-06-18 |
| 1073994299 | James Pang | Pediatrics | 94 Old Short Hills Rd Ofc, Livingston, NJ 07039-5672 | 2015-06-12 |
| 1043578172 | Kristin Olsen Pyne | Pediatrics | 571 W Mount Pleasant Ave, Livingston, NJ 07039 | 2012-04-26 |
| 1609157692 | Aruna R Ramanadham | Pediatrics | 9 Mounthaven Dr, Livingston, NJ 07039-2711 | 2011-09-02 |
| 1003109893 | Erik Dienna | Pediatrics | 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 | 2011-05-26 |
| 1740586163 | Nam-young Chung | Pediatrics | 51 Congressional Pkwy, Livingston, NJ 07039-2134 | 2011-02-02 |
| 1487886875 | Lisa Beth Kurz | Pediatrics | 65 E Northfield Avenue, Suite A, Livingston, NJ 07039 | 2009-08-18 |
| 1689844243 | Kumari K. Weeratunge | Pediatrics | 1401 Andover Ln, Livingston, TX 77351-2685 | 2008-03-10 |
| 1013109925 | Shilpy Setya | Pediatrics | 94 Old Short Hills Rd Rm 4143a, Livingston, NJ 07039-5672 | 2007-08-14 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77399 |
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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.