RICHARD E GUSTAFSON


Address: 4600 Valley Road, Suite 200, Lincoln, NE 68510-4844
Phone: 4024834571

RICHARD E GUSTAFSON (NPI# 1447214226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447214226
Entity Type Individual
Full Name RICHARD E GUSTAFSON
Credential MD
Practice Address 4600 Valley Road
Suite 200
Lincoln
NE 68510-4844
Practice Telephone 4024834571
Practice Fax Number 4024835079
Mailing Telephone 4024834571
Mailing Fax Number 4024835079
Enumeration Date 2006-04-17
Last Update Date 2008-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 17912 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 47055301100 05
NE RAILROAD MEDICARE 080120246 01

Other Providers RICHARD GUSTAFSON

NPI Name Taxonomy Address Enumeration
1134772122 Richard Barnum Gustafson Pharmacist 500 Canyon Ridge Dr, Austin, TX 78753-1632 2019-07-19
1902198872 Richard L. Gustafson Counselor 4320 Diplomacy Dr, Suite 1500, Anchorage, AK 99508-5925 2011-05-10
1073721932 Richard Charles Gustafson Specialist 44 Stiles Road, Salem, NH 03079 2007-05-21
1104951458 Richard Gustafson Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2007-02-23

Office Location

Street Address 4600 VALLEY ROAD
SUITE 200
City LINCOLN
State NE
Zip Code 68510-4844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033172721 Laurel B Van Ham Psychologist 4600 Valley Road, Suite 200, Lincoln, NE 68510-4844 2006-04-11
1649792003 Lincoln Medical Education Partnership Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2017-07-07
1144777277 Jacqueline Hanson Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-09-07
1235685553 Elliot Frank Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-08-28
1942753918 Daniel Owen Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-07-26
1255884227 Milly Bhalani Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-07-26
1407309479 Haroon Iqbal Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-07-26
1093168098 Jesse Dunn Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-07-14
1174974950 Gabriel M. Youssef Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2016-06-23
1215310610 Thomas Fischer Family Medicine 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 2015-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659925121 Nichole Renee Boggs Pharmacist 7045 O St., Lincoln, NE 68510 2019-08-01
1700361573 Sue Marie Maxwell Licensed Practical Nurse Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 2018-09-27
1649752759 Kathryn Jean Kuzelka Licensed Practical Nurse 544 South 28th Street, Lincoln, NE 68510 2018-09-05
1013404599 Amanda Ehlers Registered Nurse Lps District Office, 5905 O Street, Lincoln, NE 68510 2018-04-19
1225535081 Jana Kathleen Mcnemar Counselor 245 South 84th Street, Suite 212, Lincoln, NE 68510 2018-04-09
1265932313 Kimberly Elwood Specialist/Technologist 2229 J St., Lincoln, NE 68510 2018-02-15
1881193266 Susan Kangas-packett Registered Nurse 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 2018-02-12
1023517000 Tara Johnson Licensed Practical Nurse Lpsdo 5905 O St, Lincoln, NE 68510 2018-02-06
1427566413 Tracy Russell Counselor 245 S 84th Street, Suite 212, Lincoln, NE 68510 2018-01-12
1447778964 Erin Elizabeth Cristello Speech-Language Pathologist 300 S 48th Street, Lincoln, NE 68510 2017-09-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740898907 Physician Management Services of Nebraska, LLC Family Medicine 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 2020-07-14
1508486416 Bluestem Health Family Medicine 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 2020-04-21
1356812788 Holy Family Medical Associates, LLC Family Medicine 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 2018-12-11
1295217735 Angela Zavala Family Medicine 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 2018-08-31
1477043800 Kyle Thomas Gibbens Family Medicine 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 2018-05-10
1821513722 Good Faith Family Medicine, LLC Family Medicine 8055 O Street Suite 100, Lincoln, NE 68510 2017-08-11
1023531936 Doctors of Women, LLC Family Medicine 8055 O St Ste 100, Lincoln, NE 68510-2575 2017-07-23
1881049526 Family Health & Wellness Center, P.C. Family Medicine 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 2016-05-02
1114397254 Primarycare Housecalls PC Family Medicine 5601 S 59th St, Lincoln, NE 68516-2306 2015-10-01
1639584436 Martha Miller Family Medicine 1020 Daniel Dr, Lincoln, CA 95648-8539 2014-07-01
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Competitor

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City LINCOLN
Zip Code 68510

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Dataset Information

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.

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