ERIC GUSTAFSON DPM NPI 1316470255

NPI Information

NPI: 1316470255
Provider Name: ERIC GUSTAFSON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
6801 DIXIE HWY STE 134
LOUISVILLE, KY
ZIP 40258
Phone: (502) 447-4500
Get Directions

Eric Gustafson, DPM is a foot and ankle surgery podiatrist in Louisville, KY with 7 years of experience. Eric Gustafson, DPM NPI is 1316470255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6801 DIXIE HWY STE 134
LOUISVILLE, KY
ZIP 40258-952
Phone: (502) 447-4500
Fax: (502) 449-0108

The NPI 1316470255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/7/2017 and was last updated on 10/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	262794	KENTUCKY	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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