Thomas Gustaferro MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THOMAS GUSTAFERRO MD INC

Practice address

17747 Chillicothe Rd
Ste 106
Chagrin Falls, OH 44023-4739

Phone

(440) 543-2200

NPI assigned

Feb 28, 2007

Last updated

Aug 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Gustaferro, MDNPI 1225048317

Title

President

Phone

(440) 543-2200

Specialties & licenses 1

Addresses

Other names 1

• DRS. JUHANT AND GUSTAFERRO Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas James Gustaferro, MD

  • Ophthalmology Physician
  • Chagrin Falls, OH
  • NPI 1225048317
  Authorized official Same address or phone

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1730216433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "STE 106",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "STE 106",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GUSTAFERRO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "GUSTAFERRO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-543-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS. JUHANT AND GUSTAFERRO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.