Organization Active NPI

John L. Shuss, M.D., P.L.L.C.

  • Surgery Physician
  • Twin Falls, ID
National Provider Identifier
1245278746
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN L. SHUSS, M.D., P.L.L.C.
Practice address
660 Shoshone St E
Suite 140
Twin Falls, ID 83301-6110
Phone
(208) 732-3360
Fax
(208) 732-3116
NPI assigned
Jun 4, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
John L Shuss, M.D.NPI 1700820222
Title
Physician
Phone
(208) 732-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

660 Shoshone St E
Suite 140
Twin Falls, ID 83301-6110

Mailing address

660 Shoshone St E
Suite 140
Twin Falls, ID 83301-6110
Phone (208) 732-3360

Other identifiers 2

IdentifierTypeStateIssuer
003957500MedicaidID
020051434OtherIDRR MEDICARE

National Provider Directory

National Provider Directory

Locations

660 Shoshone St E
Ste 140
Twin Falls, ID 83301
Phone (208) 732-3180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1245278746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 140",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3360",
            "fax_number": "208-732-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 140",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3360",
            "fax_number": "208-732-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. SHUSS, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SHUSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-732-3360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003957500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020051434",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.