Reuben Jay Shankster
Individual provider Active NPI Peer Specialist · New Paris, OH
NPI 1174473748 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1174473748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- APS.007073 (OH)
- Practice address
- 10670 Morrison Mikesell Rd
New Paris, OH 45347-7060 - Phone
- (760) 820-4896
- NPI assigned
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.007073 | OH | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.007073 | OH | Yes |
Addresses
Primary practice location
10670 Morrison Mikesell Rd
New Paris, OH 45347-7060
Mailing address
10670 Morrison Mikesell Rd
New Paris, OH 45347-7060
Other providers in New Paris, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.