MRS. CARMEN MICHELLE GUSTAFSON (NPI# 1679818405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679818405 |
Entity Type | Individual |
Full Name | MRS. CARMEN MICHELLE GUSTAFSON |
Credential | ANP |
Practice Address |
1989 Miamisburg Centerville Rd Centerville OH 45459-3859 |
Practice Telephone | 9375286890 |
Mailing Telephone | 9375286890 |
Enumeration Date | 2012-12-05 |
Last Update Date | 2013-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
COA.13464-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1989 MIAMISBURG CENTERVILLE RD |
City | CENTERVILLE |
State | OH |
Zip Code | 45459-3859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184626368 | Anthony F Lugo | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-06-01 |
1619352929 | Karen M Gisslen | Advanced Practice Midwife | 1989 Miamisburg Centerville Rd, Suite 204, Centerville, OH 45459-3859 | 2015-07-28 |
1689824922 | Paul J. Pawlosky Ob-gyn, Inc. | Obstetrics & Gynecology | 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 | 2008-09-23 |
1740406701 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 1989 Miamisburg Centerville Rd, Suite 201 Satellite Office, Centerville, OH 45459 | 2007-04-18 |
1962582908 | Internal Medicine Care, Inc | Internal Medicine | 1989 Miamisburg Centerville Rd, Suite 201, Centerville, OH 45459-3859 | 2006-10-16 |
1467438432 | Wasyl Terlecky Jr. | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-12-21 |
1508842600 | Paul J Pawlosky | Obstetrics & Gynecology | 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 | 2005-12-20 |
1760487599 | Jeffrey B Gleick | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-06-17 |
1932101151 | Edward J Kinkopf | Family Medicine | 1989 Miamisburg Centerville Rd, Ste 301, Centerville, OH 45459-3858 | 2005-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 364SW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013253707 | Lisa Lynne Leese | Clinical Nurse Specialist | 2815 Dustin Rd Ste C, Oregon, OH 43616-3497 | 2012-12-27 |
1083669733 | Carolyn L Berry-pettit | Clinical Nurse Specialist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2006-05-23 |
1346765419 | Nancy Wigle | Clinical Nurse Specialist | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2017-08-09 |
1437532504 | Stephanie L Rogers | Clinical Nurse Specialist | 6482 E Main St, Suite B, Reynoldsburg, OH 43068-7312 | 2015-07-07 |
1689938011 | Family Planning Association of Northeast Ohio, Inc. | Clinical Nurse Specialist | 5594 State Route 7, Andover, OH 44003-9490 | 2012-06-29 |
City | CENTERVILLE |
Zip Code | 45459 |
Please comment or provide details below to improve the information on MRS. CARMEN MICHELLE 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.