MR. PETER MICHAEL GUSTAFSON (NPI# 1144734484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144734484 |
| Entity Type | Individual |
| Full Name | MR. PETER MICHAEL GUSTAFSON |
| Credential | CRNA |
| Practice Address |
1 Saint Francis Dr Greenville SC 29601-3955 |
| Mailing Address |
1850 N Clark St Apt 206 Chicago IL 60614-5335 |
| Practice Telephone | 8642551584 |
| Mailing Telephone | 2176492560 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
041378169 | IL | Nursing Service Providers |
| Street Address |
1 SAINT FRANCIS DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932165065 | Upstate Radiology Associates | Radiology | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2006-04-26 |
| 1548878952 | Samuel Stephen Glenn Jr. | Pharmacist | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-07-22 |
| 1407474182 | Brandy Adkins | Nurse Practitioner | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-07-09 |
| 1972127017 | St Francis Hospital, Inc. | Clinical Medical Laboratory | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-06-04 |
| 1700413713 | Julia Grace Klemm | Nurse Anesthetist, Certified Registered | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-03-27 |
| 1750918900 | Chelsea Winikor | Student in an Organized Health Care Education/Training Program | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-03-26 |
| 1952937153 | Caroline Reaves Mcdonald | Registered Nurse | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-03-19 |
| 1093354276 | Lori Ann Mckitrick | Speech-Language Pathologist | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2020-01-05 |
| 1043858624 | Jane Seabrook Lucas | Nurse Practitioner | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2019-12-14 |
| 1164983136 | Sarah Plumblee | Registered Nurse | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2019-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194179994 | Elizabeth Jean Murray | Registered Nurse | 10835 Highway 150, Greenville, IN 47124-9214 | 2016-04-18 |
| 1588274062 | Hunter Meredith Hamilton | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1003426719 | Kathryn Donato | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-06 |
| 1861002107 | Jamie Megan Warlick | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-02 |
| 1639719123 | Melinda Faye Lawhorn | Registered Nurse | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-01-13 |
| 1871146381 | Daniel Wade Simmons | Registered Nurse | 2080 W Arlington Blvd Ste B, Greenville, NC 27834-3770 | 2019-07-23 |
| 1659875334 | James Matthew Bridwell | Registered Nurse | 1 Saint Francis Dr, Greenville, SC 29601 | 2018-03-19 |
| 1013464031 | Christopher Engele | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
| 1760871040 | Sandra Cue Gold | Registered Nurse | 701 Grove Rd, Greenville, SC 29605-4210 | 2015-01-09 |
| 1508105503 | Laura Leigh Smith | Registered Nurse | 701 Grove Rd, Greenville, SC 29605-4210 | 2013-02-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
Please comment or provide details below to improve the information on MR. PETER MICHAEL GUSTAFSON.
| 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.