MYRON F SHUSTER (NPI# 1679640114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679640114 |
| Entity Type | Individual |
| Full Name | MYRON F SHUSTER |
| Credential | DMD |
| Practice Address |
3101 Breckenridge Ln Suite 4b Louisville KY 40220-2742 |
| Practice Telephone | 5024511020 |
| Practice Fax Number | 5024519339 |
| Mailing Telephone | 5024511020 |
| Mailing Fax Number | 5024519339 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4639 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | UCCI 2ND LOCATION FISCHER | 1377294 | 01 |
| KY | UCCI BRECKENRIDGE LANE | 59258 | 01 |
| KY | 4503 | 05 |
| Street Address |
3101 BRECKENRIDGE LN SUITE 4B |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312066 | Richard A Pape | Dentist | 3101 Breckenridge Ln, Ste 2d, Louisville, KY 40220-2742 | 2005-08-02 |
| 1770728131 | Sonya C Worthington | Nurse Anesthetist, Certified Registered | 3101 Breckenridge Ln, Suite 1a, Louisville, KY 40220-2793 | 2008-12-12 |
| 1811170939 | Anthony Kelty | Nurse Anesthetist, Certified Registered | 3101 Breckenridge Ln, Suite 1a, Louisville, KY 40220-2742 | 2007-12-12 |
| 1790805562 | Mark A Blair | Dentist | 3101 Breckenridge Ln, 1-d, Louisville, KY 40220-2742 | 2007-03-29 |
| 1043336936 | Hershel Weinberg | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-22 |
| 1841315207 | Paul E King, Dmd, Pllc | Clinic/Center | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-21 |
| 1598898413 | Jennifer Lynn Wright | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-13 |
| 1265567572 | Louisville Internal Medicine & Pediatrics, LLC | Pediatrics | 3101 Breckenridge Ln, #4e, Louisville, KY 40220-2742 | 2007-02-23 |
| 1134288434 | Myron F Shuster, Dmd | Dentist | 3101 Breckenridge Ln, Suite 4b, Louisville, KY 40220-2742 | 2006-12-06 |
| 1992874028 | Phillip Gordon Mcintosh Jr. | Dentist | 3101 Breckenridge Ln, 1e, Louisville, KY 40220 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
| 1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
| 1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
| 1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
| 1083144265 | Kelly Wessel | Dentist | 4413 Santa Paula Ln, Louisville, KY 40219-3820 | 2017-06-19 |
| 1548620560 | Myron F Shuster Dmd Psc | Dentist | 3101 Breckenridge Ln Ste 4b, Louisville, KY 40220-2797 | 2016-03-03 |
| 1396138616 | Uday K Bahunutula | Dentist | 2002 Fandango Ct, Louisville, KY 40245-5441 | 2015-03-11 |
| 1255757852 | Dupont Pediatric Dentistry | Dentist | 1001 Dupont Square North, Louisville, KY 40207 | 2014-03-07 |
| 1659610269 | Kids Dentistry- Dixie Highway Pllc | Dentist | 9707 Dixie Hwy, B, Louisville, KY 40272-3939 | 2013-02-04 |
| 1821317132 | Jenna R Schulten | Dentist | 1001 N Dupont Sq, Louisville, KY 40207-4612 | 2010-05-26 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on MYRON F 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.