Active NPI
John K Shuster, M.D.
- Orthopaedic Surgery of the Spine Physician
- Spokane, WA
National Provider Identifier
1710955307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- MD00036590
- Practice address
- 601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715 - Phone
- (509) 344-2663
- Fax
- (509) 624-9179
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD00036590 | WA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD00036590 | WA |
Addresses
Primary practice location
601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Mailing address
601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034606 | Medicaid | MT | |
| 379109600 | Other | WA | OWCP |
| 805241500 | Medicaid | ID | |
| 8229817 | Medicaid | WA | |
| 123388 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 89220026 | Other | WA | CRIME VICTIMS |
| KB780 | Other | ID | BLUE CROSS OF ID |
| SH7670 | Other | WA | ASURIS NW HEALTH |
| 000010004895 | Other | ID | BLUE SHIELD OF IDAHO |
| 14477 | Other | WA | GROUP HEALTH NW |
| 000010004892 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 200031946 | Other | WA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virgin Island Orthopedics and Sports Medicine P C | Current | Accepting new patients | |
| VI Government Hospital and Health Facilities Corp | Current | Accepting new patients | |
| Myrah Keating Smith Community Health Center | Past | Accepting new patients |
Locations
9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211
9149 Estate Thomas
St Thomas, VI 00802
Phone (340) 714-2845
9149 Estate Thomas
Ste 104
St Thomas, VI 00802
Phone (340) 714-2845
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
- Specialist
- St Thomas, VI
- NPI 1053390666
-
- Clinic/Center
- St John, VI
- NPI 1144250580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1710955307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 5TH AVE",
"address_2": "SUITE 400",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042715",
"telephone_number": "509-344-2663",
"fax_number": "509-624-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 5TH AVE",
"address_2": "SUITE 400",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042715",
"telephone_number": "509-344-2663",
"fax_number": "509-624-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSTER",
"first_name": "JOHN",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "MD00036590",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00036590",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034606",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "379109600",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805241500",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8229817",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRIE",
"identifier": "123388",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "89220026",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "KB780",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NW HEALTH",
"identifier": "SH7670",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010004895",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH NW",
"identifier": "14477",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010004892",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200031946",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.