MR. TROY GUSTAVESON (NPI# 1902357171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902357171 |
| Entity Type | Individual |
| Full Name | MR. TROY GUSTAVESON |
| Credential | PA-C |
| Practice Address |
5910 N La Cholla Blvd Tucson AZ 85741-3535 |
| Practice Telephone | 5202970404 |
| Practice Fax Number | 5202970436 |
| Mailing Telephone | 5202970404 |
| Mailing Fax Number | 5202970436 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2017-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6477 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5910 N LA CHOLLA BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881643526 | Catalina Ear, Nose and Throat PC | Audiologist | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2006-05-09 |
| 1689196107 | Ana Laura Saenz | Nurse Practitioner | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2017-07-17 |
| 1104220979 | Ashley Celeste Munro | Dietitian, Registered | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2014-10-22 |
| 1700101425 | Catalina Ear, Nose & Throat | Hearing Instrument Specialist | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2010-04-06 |
| 1255656971 | Catalina Ear, Nose & Throat | Audiologist-Hearing Aid Fitter | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2010-04-06 |
| 1700118668 | Edward Perry | Audiologist | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2010-02-03 |
| 1306995741 | Catalina Ear Nose & Throat PC | Clinical Medical Laboratory | 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1013499599 | Jeremy Robert Thomas | Physician Assistant | 5230 E Farness Dr Ste 100, Tucson, AZ 85712-2141 | 2018-08-31 |
| 1679859920 | Jamie Wystrach | Physician Assistant | 6127 N La Cholla Blvd Ste 101, Tucson, AZ 85741-3744 | 2011-11-01 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1366692238 | Judith Kaye Jones | Physician Assistant | 501 N Park Ave, 110, Tucson, AZ 85719-5034 | 2008-09-26 |
| 1316146681 | Britni Reann Mcbryde | Physician Assistant | 2260 W. Orange Grove Rd, Tucson, AZ 85741 | 2007-07-16 |
| 1275614786 | Amy Vinik | Physician Assistant | 1601 W St. Mary's Road, Tucson, AZ 85745 | 2006-10-18 |
| 1689611956 | Cushing Street Family Practice PC | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-06-02 |
| 1639132301 | Justin Thomas Decker | Physician Assistant | 501 N Park Ave Ste 120, Tucson, AZ 85719-5034 | 2006-04-11 |
| 1477520484 | Carlos Martin Aguilar | Physician Assistant | 1460 W Valencia Rd Ste 141, Tucson, AZ 85746-6001 | 2006-03-08 |
| Find all providers in TUCSON | ||||
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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.