Individual provider Active NPI

John Gusz, MD

  • Surgery Physician
  • Ravenna, OH
National Provider Identifier
1346294683
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35069925G Issued in OH
Practice address
3973 Loomis Pkwy
Suite a
Ravenna, OH 44266-1803
Phone
(330) 296-8239
Fax
(330) 296-6528
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35069925G OH Primary

Addresses

Primary practice location

3973 Loomis Pkwy
Suite a
Ravenna, OH 44266-1803

Mailing address

3973 Loomis Pkwy
Suite B
Ravenna, OH 44266-1803
Phone (330) 296-8239

Other identifiers 1

IdentifierTypeStateIssuer
0280664MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000615 OH Practitioner - General Surgery 9032143490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portage Surgical Associates IncGroup PAC ID 8123052586, 2 clinicians

Practice addresses (Care Compare)

3973 Loomis Pkwy
Suite a
Ravenna, OH 44266-1803
Phone (330) 296-8239

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Surgical Associates Inc Surgery CurrentSince Jan 1, 1985 Accepting new patients

Locations

1860 State Rd
Cuyahoga Fls, OH 44223
Phone (330) 923-0481

3973 Loomis Pkwy
Ste A
Ravenna, OH 44266
Phone (330) 296-8239

3973 Loomis Pkwy
Ste B
Ravenna, OH 44266
Phone (330) 296-8239

Interoperability endpoints

  • Direct secure messaging: jgusz37891@ehrdirect.uhhospitals.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1346294683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE B",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSZ",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35069925G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.