Active NPI
Robert Howard Gushard, MD
- Ophthalmology Physician
- Franklin, MA
National Provider Identifier
1508879768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 57618
- Practice address
- 500 Franklin Village Dr
Ste 103
Franklin, MA 02038-4017 - Phone
- (508) 520-0577
- Fax
- (508) 520-0565
- NPI assigned
- Aug 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 57618 | MA | Primary |
Addresses
Primary practice location
500 Franklin Village Dr
Ste 103
Franklin, MA 02038-4017
Mailing address
500 Franklin Village Dr
Ste 103
Franklin, MA 02038
Phone (508) 520-0577
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13130 | Other | FALLON | |
| 15871 | Other | HARVARD | |
| 3017613 | Medicaid | MA | |
| J06103 | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57618 | MA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1508879768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FRANKLIN VILLAGE DR",
"address_2": "STE 103",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "02038",
"telephone_number": "508-520-0577",
"fax_number": "508-520-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FRANKLIN VILLAGE DR",
"address_2": "STE 103",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020384017",
"telephone_number": "508-520-0577",
"fax_number": "508-520-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSHARD",
"first_name": "ROBERT",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "57618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "13130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "15871",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3017613",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J06103",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.