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Deactivated NPI 1811936297 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Alan Gustason , MD

Ophthalmology • Globe, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Gustason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2006
NPI Deactivation Date April 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Gustason, MD was a registered Ophthalmology practicing in Globe, AZ. Throughout an active medical career spanning 13 years, Dr. Gustason provided care at the practice location at 5860 SOUTH HOSPITAL DRIVE until profile deactivation on 2019-04-09.

Practice Location & Contact Primary Location

Practice Address

5860 South Hospital Drive
Suite #101

Globe, AZ 85501

Telephone 9284255203
Fax 9284255620
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Globe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Globe, AZ (384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ AZ 5469

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1093715252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 09, 2019

Record deactivated on April 09, 2019

NPI Profile Active December 10, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2007

Registered at 5860 SOUTH HOSPITAL DRIVE, SUITE #101, GLOBE, AZ 85501 (Tel: 9284255203)

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Updated Business Mailing Address December 10, 2007

Registered at 5860 S HOSPITAL DR STE 101, GLOBE, AZ 855019449 (Tel: 9284255203)

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Provider Name / Credentials Updated December 10, 2007

Recorded as GARY GUSTASON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2007

Ophthalmology (License #AZ 5469 in AZ)

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Initial NPI Registration & Enumeration June 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811936297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: December 10, 2007
Deactivation Date: April 09, 2019

Mailing Address

5860 S Hospital Dr Ste 101

Globe, AZ 855019449

Phone: 9284255203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.