DR. GEOFFREY PETER GUSTAVSEN (NPI# 1396715959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396715959 |
Entity Type | Individual |
Full Name | DR. GEOFFREY PETER GUSTAVSEN |
Credential | M.D. |
Practice Address |
282 The Grn Newark DE 19716-0009 |
Practice Telephone | 3028312227 |
Practice Fax Number | 3028316407 |
Mailing Telephone | 3028312227 |
Mailing Fax Number | 3028316407 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2016-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
C10007058 | DE | Allopathic & Osteopathic Physicians |
Street Address |
282 THE GRN |
City | NEWARK |
State | DE |
Zip Code | 19716-0009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427034867 | Donna M Hendrie | Family Medicine | 282 The Grn, University of Delaware, Newark, DE 19716-0009 | 2005-12-19 |
1588984819 | Kelly M. Frick | Family Medicine | 282 The Grn, Laurel Hall, Newark, DE 19716-0009 | 2010-06-09 |
1013995877 | Audrey O Pessu-uwah | Internal Medicine | 282 The Grn, Student Health Service Laurel Hall Univ. of Delaware, Newark, DE 19716-0009 | 2006-01-03 |
1114905916 | Susan A Meyer | Nurse Practitioner | 282 The Grn, University of Delaware, Newark, DE 19716-0009 | 2006-01-03 |
1720064751 | Joseph Battaglia | Family Medicine | 282 The Grn, University of Delaware Laurel Hall, Newark, DE 19716-0009 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245865310 | William James Gaffney | Specialist/Technologist | 541 S College Ave, Newark, DE 19716 | 2020-03-09 |
1013306356 | Thomas William Kaminski | Specialist/Technologist | 541 South College Avenue, University of Delaware - Hpl159, Newark, DE 19716 | 2015-01-09 |
1962708875 | Anna O'shea Shovestul | Physical Therapist | 63 Delaware Avenue, 053 Mckinly Lab, Newark, DE 19716 | 2011-02-10 |
1629300264 | Anthony Carroll | Physical Medicine & Rehabilitation | 063 East Delaware Ave, 053 Mckinly Lab, Newark, DE 19716 | 2010-02-08 |
1376734590 | Sean Christopher Cole | Physical Therapist | University of Delaware Physical Therapy Clinic, 63 East Delaware Avenue, Newark, DE 19716 | 2007-08-05 |
1770618530 | Roberta M Moloff | Psychiatry & Neurology | 209 Laurel Hall, University of Delaware, Newark, DE 19716 | 2007-02-22 |
1801939400 | Charles Buz Swanik | Specialist/Technologist | 547 South College Avenue, 151 Hpl, C O Fred Rust Arena, Newark, DE 19716 | 2007-02-14 |
1760524177 | Michele A Lobo | Physical Therapist | Delaware & Academy Avenues, Pt Clinic, Mckinly Building, The University of Delaware, Newark, DE 19716 | 2007-02-13 |
1740320274 | Megan Kathleen Schaefer | Physical Therapist | 53 Mckinley Lab, University of Delaware Pt Clinic, Newark, DE 19716 | 2007-02-07 |
1609916832 | Lynn Snyder-mackler | Physical Therapist | E. Delaware Avenue, 053 Mckinly Lab, Newark, DE 19716 | 2007-02-07 |
Find all providers in zip 19716 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356830053 | Caitlin Marie Flatley | Family Medicine | 300 Biddle Ave, Conner Building, Newark, DE 19702 | 2018-05-08 |
1154563237 | Joseph J Straight | Family Medicine | 4745 Ogletown Stanton Rd, Suite 225, Newark, DE 19713-2067 | 2009-04-03 |
1063547511 | Joseph James Straight | Family Medicine | 4745 Ogletown Stanton Rd, Suite 225, Newark, DE 19713-2067 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841295912 | Andrew S Reisman | Family Medicine | 3505 Silverside Rd, Ste 100, Wilmington, DE 19810-4904 | 2005-06-16 |
1306009394 | Rehab By Dr Lifrak | Family Medicine | 1010 N Union St, Suite 5, Wilmington, DE 19805-2731 | 2008-07-09 |
1104943125 | John E. Hocutt, Jr Md | Family Medicine | 3521 Silverside Rd, Suite B, Wilmington, DE 19810-4900 | 2007-03-23 |
1184751042 | Bradley James Sandella | Family Medicine | 1401 Foulk Rd, Suite 100, Wilmington, DE 19803-2763 | 2007-02-27 |
1386678787 | Tony S Reed | Family Medicine | 1400 N Washington St, Wilmington Annex, Suite 300, Wilmington, DE 19801-1024 | 2006-07-10 |
1003844028 | Christiana Care Health Services Inc | Family Medicine | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2006-06-29 |
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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.