Jeri Shuster, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D34215 Issued in MD

Practice address

11085 Little Patuxent Pkwy
Suite 204
Columbia, MD 21044-2979

Phone

(410) 730-5700

Fax

(410) 964-3231

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Paul Place Specialists, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Baltimore, MD
  • NPI 1871549196
  Medicare reassignment NPD
• Jeri Shuster, M.D., Women'S Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
  • NPI 1174513519
  NPD (past) Authorized official
• Saint Paul Place Specialists, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Baltimore, MD
  • NPI 1518913839
  NPD
• St Paul Place Specialists Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1497707681
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1487644894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442979",
            "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": "11085 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442979",
            "telephone_number": "410-730-5700",
            "fax_number": "410-964-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "JERI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D34215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476091300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher R Shubert, MD
• Ashleigh Shugars
• Brooke Shull
• Ralph Lynwood Shumake Jr., P.D.
• Nicole S Shuron
• Adrienne F. Shutt, LCSW-C
• Alarie Marie Shyllon
• Joseph Siakam
• Sandeep Sidana, M.D.
• Afsheen Hayat Siddiqui

• Gynecology Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.