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Active NPI 1528033644 Individual Practitioner Male Practitioner

Dr. Paul T. Gustafson , DO

Surgery • Evanston, WY

Professional Overview & Biography Verified Profile Summary

Dr. Paul Gustafson, DO is a registered healthcare professional specializing in Surgery in Evanston, WY. Practice services are available at 196 ARROWHEAD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

196 Arrowhead Dr
Ste 9

Evanston, WY 829308752

Telephone 3077838280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Evanston, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Evanston, WY (74 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WY TL#656

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IA 2894

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5101015864

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
314100 (WY)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. David Harbrecht , MD

Otolaryngology - Otolaryngic Allergy

NPI 1245312784

Doctor of Medicine (M.D.)

Dr. Cal Morrow , MD

Family Medicine

NPI 1457614331

Doctor of Medicine (M.D.)

Karrie Knopf , PA-C

Family Medicine

NPI 1487659371

Physician Assistant (Certified)

Dr. David Segarra , MD

Internal Medicine

NPI 1538164413

Doctor of Medicine (M.D.)

Gale Mcguire

Licensed Practical Nurse

NPI 1629342068
NPI 1710970058

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2008

Registered at 196 ARROWHEAD DR, STE 9, EVANSTON, WY 829308752 (Tel: 3077838280)

📍
Updated Business Mailing Address April 11, 2008

Registered at 7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 370272829 (Tel: 6154657000)

👤
Provider Name / Credentials Updated April 11, 2008

Recorded as PAUL GUSTAFSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2008

Surgery (License #TL#656 in WY)

🟢
Initial NPI Registration & Enumeration February 22, 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: 1528033644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: April 11, 2008
Sole Proprietor: No

Mailing Address

7100 Commerce Way, Suite 180

Brentwood, TN 370272829

Phone: 6154657000

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.