Roger B Gustavson (NPI# 1497745210, PAC ID# 4789878018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497745210 |
| PAC ID by PECOS | 4789878018 |
| Professional Enrollment ID | I20101101001054 |
| Full Name | Roger B Gustavson |
| Organization Legal Name | SUSQUEHANNA INTERNAL MEDICINE ASSOCIATES, P. C. |
| Address |
890 Poplar Church Rd Suite 508 Camp Hill PA 17011-2200 |
| Phone Number | 7177613875 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719972389 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390067 | PINNACLE HEALTH HOSPITALS |
| 390004 | HOLY SPIRIT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2200 | 7177613875 | SUSQUEHANNA INTERNAL MEDICINE ASSOCIATES, P. C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% |
| Organization Legal Name | SUSQUEHANNA INTERNAL MEDICINE ASSOCIATES, P. C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greg R Ehgartner | Internal Medicine | Susquehanna Internal Medicine Associates, P. C. | 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2200 |
| Eric J Binder | Internal Medicine | Susquehanna Internal Medicine Associates, P. C. | 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2200 |
| Street Address |
890 POPLAR CHURCH RD SUITE 508 |
| City | CAMP HILL |
| State | PA |
| Zip | 17011-2200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn Danielle Smith | Nurse Practitioner | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| C. Brian Peffer | Podiatry | 890 Poplar Church Rd, Suite 301, Camp Hill, PA 17011-2250 | |
| Chinh N Pham | General Surgery | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| Olusola Ayodel Osundeko | Endocrinology | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| Dennis R Banducci | Plastic and Reconstructive Surgery | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| Roderick P Zickler | Plastic and Reconstructive Surgery | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| Greg R Ehgartner | Internal Medicine | Susquehanna Internal Medicine Associates, P. C. | 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2200 |
| Eric J Binder | Internal Medicine | Susquehanna Internal Medicine Associates, P. C. | 890 Poplar Church Rd, Suite 508, Camp Hill, PA 17011-2200 |
| Kristen N Knoll | Nurse Practitioner | Spirit Physician Services Inc | 890 Poplar Church Rd, Suite 503, Camp Hill, PA 17011-2200 |
| Meena G Charan | Family Medicine | 890 Poplar Church Rd, Suite 200, Camp Hill, PA 17011-2250 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Salem | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Joseph J Campbell | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| John G Calaitges | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Robert L Kardos | Optometry | 620 N 3rd St, Harrisburg, PA 17011-1113 | |
| Maame Esi Menyah | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Erica Borrell Mcdonald | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Hazel J Brown | Clinical Psychologist | 545 Saint Johns Dr, Camp Hill, PA 17011-1333 | |
| Christopher K Holt | Optometry | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Robert George Sanford Ii | Internal Medicine | Robert G Sanford Md Alan D Roumm Md and Ravi D Acharya Md Ptr | 1845 Ctr St, Camp Hill, PA 17011-1703 |
| Todd J Harvey | Ophthalmology | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Find all physicians in zip 17011 | |||
| City | CAMP HILL |
| Zip Code | 17011 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CAMP HILL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Roger B Gustavson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.