Organization Active NPI

Craig Allen Gustafson MD PC

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1255417853
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Craig A Gustafson, MDNPI 1013093517
Title
Owner
Phone
(970) 242-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 6971
Lincoln, NE 68506-0971
Phone (402) 486-7020

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
#752
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • 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.