Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407272974 Individual Practitioner Male Practitioner

Jon Montgomery Gustafson , DVM

Veterinarian • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Jon Gustafson, DVM is a registered healthcare professional specializing in Veterinarian in Boulder, CO. Practice services are available at 4636 55TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4636 55th St

Boulder, CO 803013005

Telephone 3035302500
Fax 3035302885

Specialty Benchmarks & Practice Insights

Comparative analytics for Veterinarian in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Boulder, CO (69 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

Veterinarian Primary Specialty

NUCC Taxonomy Code: 174M00000X

State License CO 3822

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2014

Registered at 4636 55TH ST, BOULDER, CO 803013005 (Tel: 3035302500)

📍
Updated Business Mailing Address March 08, 2014

Registered at 4636 55TH ST, BOULDER, CO 803013005 (Tel: 3035302500)

👤
Provider Name / Credentials Updated March 08, 2014

Recorded as JON GUSTAFSON, DVM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2014

Veterinarian (License #3822 in CO)

🟢
Initial NPI Registration & Enumeration March 08, 2014

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: 1407272974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2014
Last Update: March 08, 2014
Sole Proprietor: Yes

Mailing Address

4636 55th St

Boulder, CO 803013005

Phone: 3035302500

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.