Active NPI
Laura M Gushue, D.M.D.
- Dentist
- Lorain, OH
National Provider Identifier
1750355343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19711
- Practice address
- 1800 Livingston Ave
Lorain County Health and Dentistry
Lorain, OH 44052 - Phone
- (440) 233-0100
- Fax
- (440) 242-2400
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19711 | OH | Primary |
Addresses
Primary practice location
1800 Livingston Ave
Lorain County Health and Dentistry
Lorain, OH 44052
Mailing address
6928 Ryan Rd
Medina, OH 44256-8878
Phone (330) 725-7488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3579 | Other | OH | DORAL |
| 341957404065 | Other | OH | CARESOURE |
| 0952689 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160303002341 | OH | Order and Referring Only - Dentist | 3375849185 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19711 | OH | MD | Dentist |
Interoperability endpoints
- laura.gushuedmd.p11@direct.loraincountyhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1750355343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6928 RYAN RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568878",
"telephone_number": "330-725-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 LIVINGSTON AVE",
"address_2": "LORAIN COUNTY HEALTH AND DENTISTRY",
"city": "LORAIN",
"state": "OH",
"postal_code": "44052",
"telephone_number": "440-233-0100",
"fax_number": "440-242-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSHUE",
"first_name": "LAURA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "19711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "3579",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURE",
"identifier": "341957404065",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0952689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.