Active NPI
Thomas Gharet Ebner, MD
- Orthopaedic Surgery Physician
- Medina, OH
National Provider Identifier
1639156557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35031766
- Practice address
- 3880 E Smith Rd
Medina, OH 44256-8771 - Phone
- (330) 722-1175
- Fax
- (330) 722-1175
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35031766 | OH | Primary |
Addresses
Primary practice location
3880 E Smith Rd
Medina, OH 44256-8771
Mailing address
970 E Washington
Ste 102 Thomas G Ebner & Associates
Medina, OH 44256
Phone (330) 722-1610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207707 | Medicaid | OH |
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 |
|---|---|---|---|
| 35031766 | OH | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639156557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E WASHINGTON",
"address_2": "STE 102 THOMAS G EBNER & ASSOCIATES",
"city": "MEDINA",
"state": "OH",
"postal_code": "44256",
"telephone_number": "330-722-1610",
"fax_number": "330-722-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 E SMITH RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568771",
"telephone_number": "330-722-1175",
"fax_number": "330-722-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBNER",
"first_name": "THOMAS",
"middle_name": "GHARET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35031766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207707",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.