DR. ZACHARY TOMULTY GUSTIN (NPI# 1700053337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700053337 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY TOMULTY GUSTIN |
| Credential | M.D. |
| Practice Address |
16120 W Dodge Rd Omaha NE 68118-2049 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023540707 |
| Practice Fax Number | 4023540909 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 28647 | NE | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
A112799 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026450100 | 05 | |
| IA | 1700053337 | 05 | |
| NE | 47068731742 | 05 | |
| NE | 47068731798 | 05 | |
| NE | 47068731751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779820 | Zachary James Gustin | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-09-16 |
| Street Address |
16120 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176506 | Michelle L Caffey | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2005-07-06 |
| 1760028153 | Md West One, PC | Neurological Surgery | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2019-11-21 |
| 1194226787 | Ryan M Houser | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2018-02-28 |
| 1982122917 | Madonna L Klein | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2017-08-30 |
| 1104368828 | Rachel L Anderson | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-11-11 |
| 1821440777 | Lauren Shoemaker | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-07-04 |
| 1093166050 | Michael Klug | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-06-30 |
| 1154775542 | Dianne Gillaspie | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-04-21 |
| 1871951327 | Mindy Keane | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-01-29 |
| 1700267978 | Rachelle Lou Naridze | Dermatology | 16120 W Dodge Rd, Omaha, NE 68118 | 2015-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841645694 | Christopher James Vacek | Physical Medicine & Rehabilitation | 6901 N 72nd St Ste 22905, Omaha, NE 68122-1709 | 2016-04-29 |
| 1497014534 | Bo Cui | Physical Medicine & Rehabilitation | 7500 Mercy Rd Ste 130, Omaha, NE 68124 | 2012-05-10 |
| 1558631671 | Heartland Osteopathic Medicine | Physical Medicine & Rehabilitation | 2501 S 102nd St, Omaha, NE 68124-1805 | 2012-01-05 |
| 1669663076 | Eric P Noll | Physical Medicine & Rehabilitation | 12905 W Dodge Rd, Omaha, NE 68154-2145 | 2007-08-09 |
| 1013070184 | Andrew S. Lee | Physical Medicine & Rehabilitation | 14863 Ellison Cir, Omaha, NE 68116-4319 | 2006-12-19 |
| 1144338286 | Wesley L. Smeal | Physical Medicine & Rehabilitation | 17021 Lakeside Hills Dr., Ste 200, Omaha, NE 68130 | 2006-08-28 |
| 1538189055 | Kurt V Gold | Physical Medicine & Rehabilitation | 7919 Wakeley Plaza, Omaha, NE 68114 | 2006-07-20 |
| 1417918707 | Samuel M Bierner | Physical Medicine & Rehabilitation | 110 N 175th St Ste 2000, Omaha, NE 68118-3550 | 2006-03-28 |
| 1003895178 | Stuart Gordon Oxford | Physical Medicine & Rehabilitation | 8309 Cass St, Omaha, NE 68114 | 2006-01-17 |
| 1235777277 | James Nagle | Physical Medicine & Rehabilitation | 13609 California St Ste 200, Omaha, NE 68154-5245 | 2019-12-19 |
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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.