Active NPI
Justin Paul Gusching, D.O.
- Surgery Physician
- Chattanooga, TN
National Provider Identifier
1386919934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34.011647
- Practice address
- 1405 Cowart St Ste 201
Chattanooga, TN 37408-1127 - Phone
- (423) 758-8636
- NPI assigned
- Mar 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 77750 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 34.011647 | OH | Primary |
Addresses
Primary practice location
1405 Cowart St Ste 201
Chattanooga, TN 37408-1127
Mailing address
210 City Green Way Apt 304
Chattanooga, TN 37405-1475
Phone (419) 733-9729
Other practice location 1
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6000
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3213 | TN | MD | Optometrist |
| 77750 | GA | MD | Surgery Physician |
| 34.011647 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386919934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 CITY GREEN WAY APT 304",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374051475",
"telephone_number": "419-733-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 COWART ST STE 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081127",
"telephone_number": "423-758-8636"
}
],
"practiceLocations": [
{
"address_1": "20000 Harvard Ave",
"address_purpose": "LOCATION",
"city": "Warrensville Heights",
"state": "OH",
"postal_code": "441226805",
"country_code": "US",
"telephone_number": "216-491-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUSCHING",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "77750",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34.011647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.