Individual provider Active NPI

Cynthia Gustaferro, M.D.

  • Infectious Disease Physician
  • Beachwood, OH
National Provider Identifier
1093749541
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35064866 Issued in OH
Practice address
3609 Park East Dr
207
Beachwood, OH 44122-4331
Phone
(216) 360-0456
Fax
(216) 360-9449
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35064866 OH Primary

Addresses

Primary practice location

3609 Park East Dr
207
Beachwood, OH 44122-4331

Mailing address

3609 Park East Dr
207
Beachwood, OH 44122-4331
Phone (216) 360-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064866OHMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1093749541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR",
            "address_2": "207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR",
            "address_2": "207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFERRO",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35064866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.