DR. ROBERT GUSTAFSON M.D.
NPI 1720185101
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Morgantown, WV

Q: What is Robert Gustafson's NPI number?

The NPI number for Robert Gustafson is 1720185101. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Robert Gustafson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Gustafson was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2006

1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 293-6963 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Dec 31, 2020, Oct 17, 2020 (3 updates tracked since 2020).

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About Dr. Robert Gustafson M.d. NPPES

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

DR. ROBERT GUSTAFSON M.D. (NPI 1720185101) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Morgantown, West Virginia, licensed in West Virginia (11159) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720185101

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. ROBERT GUSTAFSONCredential: M.D.

Location Address1 STADIUM DRIVEMorgantown, WV 26506

Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963

Phone(304) 598-4800

Fax(304) 293-6963

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 13, 20223 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1720185101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in WV · 11159

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License 11159 (WV)

1 STADIUM DRIVE, Morgantown, WV 26506

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Other Identifiers 2

Medicaid0128544000WV

Other330004835WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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