Kurt J Gustafson (NPI# 1326069055, PAC ID# 7810051232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1326069055 |
| PAC ID by PECOS | 7810051232 |
| Professional Enrollment ID | I20090203000449 |
| Full Name | Kurt J Gustafson |
| Organization Legal Name | CARBON FOOT AND ANKLE CENTERS PC |
| Address |
1206 N St Jim Thorpe PA 18229-1726 |
| Phone Number | 6103775544 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4082777271 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390194 | BLUE MOUNTAIN HOSPITAL-GNADEN HUETTEN CAMPUS |
| 390183 | ST LUKE'S MINERS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1206 N St, Jim Thorpe, PA 18229-1726 | 6103775544 | CARBON FOOT AND ANKLE CENTERS PC |
| 215 S 1st St, Lehighton, PA 18235-2163 | 6103775544 | CARBON FOOT AND ANKLE CENTERS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 1% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 1% |
| Organization Legal Name | CARBON FOOT AND ANKLE CENTERS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward C Beckett | Podiatry | Carbon Foot and Ankle Centers PC | 215 S 1st St, Lehighton, PA 18235-2163 |
| Matthew O Mertz | Podiatry | Carbon Foot and Ankle Centers PC | 185 Delaware Ave, Apt 1, Palmerton, PA 18071-1716 |
| John Thomas Keenan | Podiatry | Carbon Foot and Ankle Centers PC | 215 S 1st St, Lehighton, PA 18235-2163 |
| Street Address |
1206 N ST |
| City | JIM THORPE |
| State | PA |
| Zip | 18229-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Margaret Rice | Family Medicine | Lehigh Valley Physician Group | 1580 Ctr Ave, Jim Thorpe, PA 18229-1012 |
| Patrick J Hanley | Emergency Medicine | Lehigh Valley Physician Group | 1580 Ctr Ave, Jim Thorpe, PA 18229-1012 |
| Eileen Patricia Connors | Nurse Practitioner | Lehigh Valley Physician Group | 1580 Ctr Ave, Jim Thorpe, PA 18229-1012 |
| Deborah Ann Smith | Family Medicine | Lehigh Valley Physician Group | 1580 Ctr Ave, Jim Thorpe, PA 18229-1012 |
| Rosemarie Attewell | Emergency Medicine | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Robert S Dolansky Jr. | Family Medicine | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Cindyl Lee Mauzey | Nurse Practitioner | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Darrell D Smulling | Physician Assistant | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Harold A Felton | Physician Assistant | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Cheryl L Ayres | Physician Assistant | St Luke's Hospital | 1104 N St, St Luke's Care Now, Jim Thorpe, PA 18229-1717 |
| Find all physicians in zip 18229 | |||
| City | JIM THORPE |
| Zip Code | 18229 |
| Specialty | PODIATRY |
| City + Specialty | JIM THORPE + PODIATRY |
Please comment or provide details below to improve the information on Kurt J Gustafson.
| 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.