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DEREK GUSTOVICH
NPI 1689221004
Student in an Organized Health Care Education/Training Program in Mineral Ridge, OH

Active since August 20, 2019
1465 MORRIS ST, MINERAL RIDGE, OH 44440(330) 766-5630 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Gustovich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK GUSTOVICH (NPI 1689221004) is an individual student in an organized health care education/training program in Mineral Ridge, Ohio and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1689221004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK GUSTOVICH
Location Address1465 MORRIS STMineral Ridge, OH 44440-9707
Mailing Address1465 Morris StMineral Ridge, OH 44440-9707
Phone(330) 766-5630
Sole ProprietorYes
Enumeration DateAugust 20, 2019
✔ NPI 1689221004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1465 MORRIS ST, Mineral Ridge, OH 44440
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Gustovich's NPI number?

The NPI number for Derek Gustovich is 1689221004. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Derek Gustovich located?

Derek Gustovich practices at 1465 Morris St, Mineral Ridge, OH 44440. The listed phone number is (330) 766-5630.

What is Derek Gustovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Gustovich was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.