Craig Allen Gustafson MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CRAIG ALLEN GUSTAFSON MD PC

Practice address

2478 Patterson Rd
Suite 27
Grand Junction, CO 81505-1266

Phone

(970) 242-1566

Fax

(970) 263-0134

NPI assigned

Oct 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig A Gustafson, MD

Title

Owner

Phone

(970) 242-1566

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1255417853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6971",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060971",
            "telephone_number": "402-486-7020",
            "fax_number": "402-434-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 27",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051266",
            "telephone_number": "970-242-1566",
            "fax_number": "970-263-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG ALLEN GUSTAFSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-242-1566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23176822",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9937",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lee Cox, D.C.
• Laurie Cox, NP
• Rhonda Jean Cox, MA, LPC, CAC III
• Jessica Coxon
• Eugene Middleton Crafton, M.D
• Andrea Esther Craighead, APN
• Morgan Kathryne Cramer
• Colby Lee Crawford, PA-C
• Elizabeth Crawford, NP
• Royanna Joye Crawford, PA

• Family Medicine Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.