Active NPI
Michael Allan Gureasko, MD
- Child & Adolescent Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1467537985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OH35032441
- Practice address
- 2123 Auburn Ave
306
Cincinnati, OH 45219 - Phone
- (513) 281-8840
- Fax
- (513) 281-5314
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OH35032441 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OH35032441 | OH | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | OH35032441 | OH |
Addresses
Primary practice location
2123 Auburn Ave
306
Cincinnati, OH 45219
Mailing address
2123 Auburn Ave
306
Cincinnati, OH 45219
Phone (513) 281-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270326 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH35032441 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Kuschnir MD LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1376879205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1467537985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "306",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-281-8840",
"fax_number": "513-281-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "306",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-281-8840",
"fax_number": "513-281-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUREASKO",
"first_name": "MICHAEL",
"middle_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "OH",
"license": "OH35032441",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "OH35032441",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "OH",
"license": "OH35032441",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270326",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.