DR. JERRY N SHUSTER (NPI# 1124245386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124245386 |
| Entity Type | Individual |
| Full Name | DR. JERRY N SHUSTER |
| Credential | MD |
| Practice Address |
790 Concourse Pkwy S Suite 200 Maitland FL 32751 |
| Mailing Address |
1033 Dr Martin Luther King Jr St N Suite 108 St Petersburg FL 33701-1547 |
| Practice Telephone | 4077676411 |
| Practice Fax Number | 4077678160 |
| Mailing Telephone | 7274563288 |
| Mailing Fax Number | 7274563289 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
ME35948 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 067967400 | 05 |
| Street Address |
790 CONCOURSE PKWY S SUITE 200 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093753824 | Robert S Gold | Ophthalmology | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751 | 2006-06-03 |
| 1043776636 | Gina O'connor | Nurse Practitioner | 790 Concourse Pkwy S, Maitland, FL 32751-6114 | 2019-02-19 |
| 1437565678 | Madeline Coffey | Audiologist | 790 Concourse Pkwy S, Ste. 110, Maitland, FL 32751-6114 | 2014-07-09 |
| 1376846733 | Florida Pediatric Associates, LLC | Pediatrics | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2010-12-07 |
| 1770665051 | Jerry N. Shuster, Md | Specialist | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2006-10-19 |
| 1417968942 | Robert W. Hered | Ophthalmology | 790 Concourse Pkwy S, Ste. 200, Maitland, FL 32751 | 2006-08-10 |
| 1144268988 | David B Auerbach | Ophthalmology | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751 | 2006-06-03 |
| 1396783130 | Louis C Blumenfeld | Ophthalmology | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751 | 2006-06-03 |
| 1730127572 | Victor B Thomas | Ophthalmology | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2006-06-03 |
| 1639117476 | Larry S Lewis | Optometrist | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2006-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 207WX0009X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Glaucoma Specialist |
| An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861742066 | Alma M Mas-ramirez | Ophthalmology | 950 N.w. 13th Street, Boca Raton, FL 33486-2380 | 2012-09-14 |
| 1023033388 | Mark Alan Werner | Ophthalmology | 16201 S Military Trl, Delray Beach, FL 33484-6503 | 2006-07-13 |
| 1720074974 | Michael J Levitt | Ophthalmology | 4900 N Habana Ave, Tampa, FL 33614 | 2005-09-23 |
| 1790307619 | Sjh Ophthalmology | Ophthalmology | 550 Sw 3rd St Ste 305, Pompano Beach, FL 33060-6946 | 2020-05-13 |
| 1013548635 | Westsite Management LLC | Ophthalmology | 3893 Military Trl Ste 4, Jupiter, FL 33458-2936 | 2020-02-02 |
| 1972068542 | Advanced Cataract & Glaucoma Care, Pllc | Ophthalmology | 7515 State Road 52 Ste 104, Hudson, FL 34667-6757 | 2019-02-07 |
| 1407234461 | Adam Louis Rothman | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2015-05-11 |
| 1003843038 | Stephen Marshall Wahl | Ophthalmology | 3920 Bee Ridge Rd, Building F, Suite B, Sarasota, FL 34233-1207 | 2006-06-26 |
| 1275525057 | H. Michael Morris | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474 | 2005-08-18 |
| 1407852254 | Lawrence Hurvitz | Ophthalmology | 3920 Bee Ridge Rd, Bldg F, Sarasota, FL 34233-1207 | 2005-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.