THOMAS R. GUSTAFSON MD – NPI #1720055528
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THOMAS GUSTAFSON is a physician located in PINE CITY, NY. NPPES has assigned the NPI number 1720055528 to THOMAS GUSTAFSON on March 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Jul 29, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS GUSTAFSON below.

NPI Profile for
THOMAS R. GUSTAFSON

NPI Number
1720055528
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS R. GUSTAFSON
Credentials
MD
Primary location
1243 PENNSYLVANIA AVE
PINE CITY, NY 14871-9230
Phone: (607) 734-3929 Fax: (607) 734-0781
Mailing address
1 GUTHRIE SQ
SAYRE, PA 18840-1625
Phone: (570) 888-5858 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for THOMAS GUSTAFSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARE GROUPNYCC8362
OTHERRR MEDICARE PINNY080173355
MEDICAIDNY01255774
MEDICAIDPA0012479510001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
PA MD042588L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.