DR. ROBERT GUSTAFSON (NPI# 1720185101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720185101 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GUSTAFSON |
| Credential | M.D. |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
11159 | WV | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11159 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0128544000 | 05 | |
| WV | RAILROAD MEDICARE | 330004835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205047800 | Robert Joel Gustafson | Chiropractor | 2215 2nd St Sw, Suite 140, Rochester, MN 55902-4147 | 2007-05-24 |
| 1811907454 | Robert A Gustafson | Social Worker | 2707 Airport Fwy Ste 225, Fort Worth, TX 76111-2370 | 2006-08-08 |
| 1750306981 | Robert J Gustafson | Surgery | 1100 Highway 12, Attn: Eve, Hettinger, ND 58639-7533 | 2006-07-12 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097010 | Jenna Lee Shumar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-06-11 |
| 1528616562 | Seyfi Alper Toker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-09-03 |
| 1215136106 | Kevin Tveter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2007-07-12 |
| 1386675122 | James Scott Rankin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2006-07-06 |
| 1467426718 | Vinay Badhwar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2006-02-14 |
| 1588643209 | Kee C Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2006-01-11 |
| 1215913538 | Jason J Lamb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2005-12-19 |
| 1629052162 | Alexander Arpad Nagy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265713259 | Gilbert Leo Hendricks Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2557 River Road, Shepherdstown, WV 25443-2009 | 2011-09-02 |
| 1053445981 | Greenbrier Vmc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1348 | 2007-03-15 |
| 1629162342 | Jose Cruzzavala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 18th Street, Suite 201, Parkersburg, WV 26101 | 2006-10-03 |
| 1134132418 | Edmundo E. Figueroa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Morris St Ste 301, Charleston, WV 25301-1853 | 2006-08-15 |
| 1790792398 | Victor Maevsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mount Dechantal Road, Wheeling, WV 26003-6328 | 2006-08-03 |
| 1639145196 | Ramanathan Sampath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Avenue Se, Suite 904, Charleston, WV 25304 | 2006-02-24 |
| 1497111413 | Wheeling Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mt Dechantal Road, Wheeling, WV 26003-6328 | 2016-01-06 |
| 1235491176 | Integrated Health Care Providers, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2012-06-15 |
| 1356571277 | Kee C. Lee, M.d., P.l.l.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2345 Chesterfield Ave, Suite 200, Charleston, WV 25304-1062 | 2009-07-27 |
| 1053545806 | H Adam Ubert | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Ave Se, Ste 301, Charleston, WV 25304-1229 | 2009-05-07 |
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| City | MORGANTOWN |
| Zip Code | 26506 |
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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.