Individual provider Active NPI

Gustavo Anton, DO

  • Neurological Surgery Physician
  • Somerset, KY
National Provider Identifier
1841789534
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
06031 Issued in KY
Practice address
305 Langdon St
Somerset, KY 42503-2750
Phone
(606) 679-7441
NPI assigned
May 8, 2018
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 06031 KY Primary

Addresses

Primary practice location

305 Langdon St
Somerset, KY 42503-2750

Mailing address

75 Hail Knob Rd
Somerset, KY 42503-3434
Phone (606) 678-9617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602001567 KY Practitioner - Neurosurgery 2466707278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Tower Cir
Somerset, KY 42503-3476
Phone (606) 451-8644

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 676-0206

56 Tower Cir
Somerset, KY 42503-3476
Phone (606) 677-2913

75 Hail Knob Rd
Somerset, KY 42503-3434
Phone (606) 678-9617

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion35
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
06031KYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Lake Cumberland Physician Practices LLC Past Accepting new patients

Locations

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

75 Hail Knob Rd
Somerset, KY 42503
Phone (606) 678-9617

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: gustavo.anton.1@21269.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1841789534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HAIL KNOB RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033434",
            "telephone_number": "606-678-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTON",
        "first_name": "GUSTAVO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "06031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.