Organization Active NPI

Jeri Shuster, M.D., PA

  • Gynecology Physician
  • Columbia, MD
National Provider Identifier
1033109459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D34215 Issued in MD
Legal business name
JERI SHUSTER, M.D., PA
Practice address
11065 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-2998
Phone
(410) 730-5700
Fax
(410) 964-3231
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeri Shuster, M.D.
Title
Physician/Owner
Phone
(410) 730-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X D34215 MD Primary

Addresses

Primary practice location

11065 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-2998

Mailing address

11065 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-2998
Phone (410) 730-5700

National Provider Directory

National Provider Directory

Locations

11065 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (410) 730-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2496/brand/2/csg/23/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033109459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442998",
            "telephone_number": "410-730-5700",
            "fax_number": "410-964-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442998",
            "telephone_number": "410-730-5700",
            "fax_number": "410-964-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERI SHUSTER, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUSTER",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-730-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D34215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.