DAVID B SHUSTER (NPI# 1194770453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194770453 |
| Entity Type | Individual |
| Full Name | DAVID B SHUSTER |
| Credential | MD |
| Practice Address |
580 Lincoln Park Blvd Ste 255 Kettering OH 45429-3493 |
| Mailing Address |
2312 Far Hills Ave #349 Dayton OH 45419-1512 |
| Practice Telephone | 9372664668 |
| Practice Fax Number | 8668398449 |
| Mailing Telephone | 9372664668 |
| Mailing Fax Number | 8668398449 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
35-05-9855-S | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0805203 | 05 | |
| OH | DEA | BS2332081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893146 | David Shuster | Podiatrist | 105 Garth Rd, Scarsdale, NY 10583-3711 | 2006-04-26 |
| 1245220904 | David L Shuster | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-10-25 |
| Street Address |
580 LINCOLN PARK BLVD STE 255 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330084 | J&w Surgical Services LLC | Surgery | 580 Lincoln Park Blvd Ste 255, Kettering, OH 45429-3493 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952348732 | David B Shuster | Physical Medicine & Rehabilitation | 2600 Far Hills Ave, Ste 309, Kettering, OH 45419-1602 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700098811 | Mid-ohio Valley Physical Medicine | Physical Medicine & Rehabilitation | 400 Matthew Street, Suite 306, Marietta, OH 45750 | 2007-05-03 |
| 1740697986 | Nina Carmela Rosales Tamayo | Physical Medicine & Rehabilitation | 8551 Darrow Rd, Twinsburg, OH 44087-2311 | 2014-07-21 |
| 1073716809 | Mary Kristina Henzel | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Va Medical Center, 128(w), Cleveland, OH 44106-1702 | 2007-06-08 |
| 1750584421 | Steven W Brose | Physical Medicine & Rehabilitation | 10701 East Blvd, Spinal Cord Injury Service, Cleveland, OH 44106-1702 | 2007-06-08 |
| 1144399635 | Shamsi Lashgari-saegh | Physical Medicine & Rehabilitation | 10701 East Blvd, Cleveland, OH 44106-1702 | 2006-11-07 |
| 1043394810 | Sandra K Kostyk | Physical Medicine & Rehabilitation | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-10-25 |
| 1134131113 | Robert Louis Ruff | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Vamc, Neurology Svc. 127(w), Cleveland, OH 44106-1702 | 2006-08-11 |
| 1831100304 | Chester H Ho | Physical Medicine & Rehabilitation | 10701 East Blvd, Sci 128w, Cleveland, OH 44106-1702 | 2006-08-10 |
| 1306870266 | Melvin S Mejia | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-10 |
| 1245262161 | Gregory A Nemunaitis | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID B SHUSTER.
| 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.