Thomas James Gustaferro, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35064899 Issued in OH

Practice address

17747 Chillicothe Rd
Chagrin Falls, OH 44023-4739

Phone

(440) 543-2200

Fax

(440) 543-2290

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Thomas Gustaferro MD Inc

  • Ophthalmology Physician
  • Chagrin Falls, OH
  • NPI 1730216433
  Authorized official Same address or phone

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225048317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-2200",
            "fax_number": "440-543-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-2200",
            "fax_number": "440-543-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFERRO",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35064899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Grace
• Veronica J Grant
• Stephen Grcevich, M.D.
• Michael H. Greenberg, O.D.
• Irina Y Gross, DPM
• Michael B. Guyer, L.P.C.C.
• Michael Gype, PA-C
• Spencer Hadbavny
• Brianna Nicole Hallen
• Hamlet Assisted Living Operator LLC

• Ophthalmology Physician in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.