DR. JON MONTGOMERY GUSTAFSON


Address: 4636 55th St, Boulder, CO 80301-3005
Phone: 3035302500

DR. JON MONTGOMERY GUSTAFSON (NPI# 1407272974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407272974
Entity Type Individual
Full Name DR. JON MONTGOMERY GUSTAFSON
Credential DVM
Practice Address 4636 55th St
Boulder
CO 80301-3005
Practice Telephone 3035302500
Practice Fax Number 3035302885
Mailing Telephone 3035302500
Mailing Fax Number 3035302885
Enumeration Date 2014-03-08
Last Update Date 2014-03-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174M00000X Veterinarian 3822 CO Other Service Providers

Other Providers JON GUSTAFSON

NPI Name Taxonomy Address Enumeration
1275583551 Jon M Gustafson Psychiatry & Neurology 5701 Euper Ln Ste B, Fort Smith, AR 72903-3255 2006-05-10

Office Location

Street Address 4636 55TH ST
City BOULDER
State CO
Zip Code 80301-3005

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265031454 Jonathan William Garson Social Worker 1790 30th St., Boulder, CO 80301 2020-10-20
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1184273864 National Doula Network Doula 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 2019-09-05
1861047086 Samuel Shay Chiropractor 1750 30th St, Ste 1, #226, Boulder, CO 80301 2019-08-05
1124504808 Be Free Live Now LLC Social Worker 2945 Center Creen Court, Suite G211, Boulder, CO 80301 2018-07-16
1720596703 Janis Dochterman Counselor 5378 Sterling Drive, Studio #3, Boulder, CO 80301 2018-01-12
1033628631 Whitney Shea Physical Therapy Assistant 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 2017-09-26
1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
1497205231 Jenna Orosco Counselor 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 2016-10-05
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Taxonomy Information

Taxonomy Code 174M00000X
Grouping Other Service Providers
Classification Veterinarian

Taxonomy Definition

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467845586 Rocky Mountain Veterinary Cardiology Veterinarian 3640 Walnut St, Boulder, CO 80301-2526 2015-03-13
1750621777 Cristina Alicia Gutierrez Veterinarian 2323 55th St, Boulder, CO 80301-2806 2013-02-28
1073929592 Lesli Groshong Veterinarian 2323 55th St, Boulder, CO 80301-2806 2014-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396104840 Linda Shoens Veterinarian 10221 Ferncrest St, Firestone, CO 80504-3501 2016-02-12
1285092486 Carrie Nedele Veterinarian 535 Zerex Street B105, Fraser, CO 80442-0014 2016-02-02
1265899488 Robert James Jr. Veterinarian 1842 S Parker Rd, Suite 10, Denver, CO 80231-2274 2016-01-19
1063887842 Yael Farah Veterinarian 1041 Galapago St, Denver, CO 80204-3942 2015-12-05
1629469143 Sheila Ricewatkins Veterinarian 32175 Castle Ct, Evergreen, CO 80439-9585 2015-02-06
1629466412 Jennifer Garner Veterinarian 805 S Public Rd, Lafayette, CO 80026-2127 2014-12-31
1669870622 Mary Sare Veterinarian 23605 Oehlmann Park Rd, Conifer, CO 80433-4504 2014-12-08
1578970299 Sarah Anger Veterinarian 6900 S Holly Cir, Centennial, CO 80112-1018 2014-07-15
1043639909 Kelly Clements Veterinarian 860 E 131st Pl, Thornton, CO 80241-1130 2014-04-08
1639506256 Charity Ann Corning Veterinarian 472 S Joe Martinez Blvd, Pueblo West, CO 81007-3555 2013-09-27
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Competitor

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City BOULDER
Zip Code 80301

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Dataset Information

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.

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