Chad Ambrose Gustin (NPI# 1104086586, PAC ID# 4880768100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104086586 |
| PAC ID by PECOS | 4880768100 |
| Professional Enrollment ID | I20080805000547 |
| Full Name | Chad Ambrose Gustin |
| Organization Legal Name | LAWRENCE MEMORIAL HOSPITAL |
| Address |
325 Maine St Lawrence KS 66044-1360 |
| Phone Number | 7855055000 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9335057553 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 325 Maine St, Lawrence, KS 66044-1360 | 7855055000 | LAWRENCE MEMORIAL HOSPITAL |
| Organization Legal Name | LAWRENCE MEMORIAL HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Neff | Emergency Medicine | Lawrence Memorial Hospital | 325 Maine St, Lawrence, KS 66044-1360 |
| Sabrina Prewett | Emergency Medicine | Lawrence Memorial Hospital | 325 Maine St, Lawrence, KS 66044-1360 |
| Jeffrey Whitacre | Emergency Medicine | Lawrence Memorial Hospital | 325 Maine St, Lawrence, KS 66044-1360 |
| Sarah E Muller | Nurse Practitioner | Lawrence Memorial Hospital | 325 Maine St, Lawrence, KS 66044-1360 |
| Street Address |
325 MAINE ST |
| City | LAWRENCE |
| State | KS |
| Zip | 66044-1360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew H Harms | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Gregory J Orth | Diagnostic Radiology | Radiologic Professional Services. P.a. | 325 Maine St, Lawrence, KS 66044-1360 |
| Marcus L Scarbrough | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Eric Alan Huerter | Internal Medicine | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Harold Ian Taylor | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Jason P Kimball | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Michael Dean Magee | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Allison L Sackin | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Carl Anschutz | Hospitalist | Lawrence Physicians LLC | 325 Maine St, Lawrence, KS 66044-1360 |
| Michael P Thompson | Pathology | Lawrence Clinical Laboratory Chartered | 325 Maine St, Lawrence, KS 66044-1360 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Clair | Family Medicine | Lawrence Physicians LLC | 1130 W 4th St, 3200 Total Family Care, Lawrence, KS 66044-1328 |
| Kaitlin M Ditch | Endocrinology | Lawrence Physicians LLC | 1130 W 4th St, 3201 Lawrence Endocrinology, Lawrence, KS 66044-1328 |
| Krishna V Rangarajan | Pulmonary Disease | Lawrence Physicians LLC | 1130 W 4th St, 2001 Lawrence Pulmonary Specialists, Lawrence, KS 66044-1328 |
| Vicky D Luse | Nurse Practitioner | Lawrence Physicians LLC | 1130 W 4th St, 3201 Lawrence Endocrinology, Lawrence, KS 66044-1328 |
| Byron S Decamp | Vascular Surgery | Kansas University Physicians Inc | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 |
| Charles C Yockey | Pulmonary Disease | Lawrence Physicians LLC | 1130 W 4th St, 2001 Lawrence Pulmonary Specialists, Lawrence, KS 66044-1328 |
| Sherri Vaughn | Family Medicine | Lawrence Physicians LLC | 1130 W 4th St, 3200 Total Family Care, Lawrence, KS 66044-1328 |
| Matthew A Rendel | Neurosurgery | Lawrence Physicians LLC | 1130 W 4th St, 3204 Lawrence Spine Care, Lawrence, KS 66044-1328 |
| Mitchell T Tener | Pulmonary Disease | Lawrence Physicians LLC | 1130 W 4th St, 2001 Lawrence Pulmonary Specialists, Lawrence, KS 66044-1328 |
| Kirk Allen Hance | Vascular Surgery | Kansas University Physicians Inc | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 |
| Find all physicians in zip 66044 | |||
| City | LAWRENCE |
| Zip Code | 66044 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAWRENCE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Chad Ambrose Gustin.
| 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.