DAVID R. GUSTAFSON (DO) – Emergency Medicine Physician, NPI 1205817871

DAVID R. GUSTAFSON (DO) is a healthcare provider. based in Independence, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. R9B87 (MO). The NPI Number for DAVID R. GUSTAFSON (DO) is 1205817871

Main info

Male
Name
DAVID R. GUSTAFSON (DO)
NPI
1205817871
Phone
(816) 651-8631
Address
3507 SHADY BEND DR
Enumeration Date
9 November 2005
Last Update Date
22 April 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID R. GUSTAFSON (DO)

  • 3507, Shady Bend Drive, Independence, Jackson County, Missouri, 64052, United States

    INDEPENDENCE, MO 640522860

    Phone: (816) 651-8631

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64052)

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Frequently asked questions

Does DAVID R. GUSTAFSON (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVID R. GUSTAFSON (DO) uses 1205817871.
Is DAVID R. GUSTAFSON (DO) still practicing?
DAVID R. GUSTAFSON (DO) is currently listed as active in the public NPI registry.
What is DAVID R. GUSTAFSON (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for DAVID R. GUSTAFSON (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID R. GUSTAFSON (DO) on a map?
Expect Independence, Missouri as a primary anchor for DAVID R. GUSTAFSON (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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