DR. CHAD AMBROSE GUSTIN (NPI# 1104086586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104086586 |
| Entity Type | Individual |
| Full Name | DR. CHAD AMBROSE GUSTIN |
| Credential | M.D. |
| Practice Address |
325 Maine St Lawrence KS 66044-1360 |
| Practice Telephone | 7855055000 |
| Mailing Telephone | 7855055000 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 32991 | KS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M5739 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
325 MAINE ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928433 | Lawrence Clinical Laboratory Chartered | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-28 |
| 1962015255 | Kate H Von Achen | Social Worker | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-26 |
| 1174135545 | Daniel Pons | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-18 |
| 1730799909 | Kyle Ryan Mick | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-03 |
| 1942819982 | Marianne Marie Westrick Carter | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1659980647 | Margaret Marie Jorgenson | Nurse Practitioner | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1609485986 | Trent Mazanec | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-23 |
| 1346869351 | Jonah Michael Hady | Registered Nurse | 325 Maine St, Lawrence, KS 66044-1360 | 2020-04-09 |
| 1801442843 | Lauren Woodward | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2019-08-15 |
| 1780243493 | Mandy Peers-greaves | Dietitian, Registered | 325 Maine St, Lawrence, KS 66044-1360 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326433277 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 3420 W 6th St, Lawrence, KS 66049-3215 | 2015-03-30 |
| 1104923739 | Wayne Tilson | Emergency Medicine | 2904 Gill Ave, Lawrence, KS 66047-3038 | 2006-09-17 |
| 1386098093 | Johannah Kathryn Merrill | Emergency Medicine | 1 General St, Lawrence, MA 01841-2997 | 2016-04-19 |
| 1649633975 | Taylor Neff | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2016-04-04 |
| 1215317771 | Kristina Noelle Tune | Emergency Medicine | 1 General St, Lawrence, MA 01841 | 2015-05-31 |
| 1356755136 | Jennifer Pascual | Emergency Medicine | 1 General St, Lawrence, MA 01841 | 2014-06-19 |
| 1083058218 | Timothy Chu | Emergency Medicine | 1 General St, Lawrence General Hospital, Lawrence, MA 01841 | 2013-04-18 |
| 1831431402 | Wilbur Kang Hu | Emergency Medicine | 1 General St, Lawrence, MA 01841-2961 | 2013-03-21 |
| 1457611808 | Alice Murray | Emergency Medicine | 1 General St, Lawrence, MA 01841-2961 | 2012-05-19 |
| 1588922900 | Jasmine Mathews | Emergency Medicine | 1 General St, Emergency Center, Lawrence, MA 01841-2961 | 2012-04-24 |
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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.