Individual provider Active NPI

Jeffrey S Schussler, DPM

  • Podiatrist
  • Mason, OH
National Provider Identifier
1982680831
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002251S Issued in OH
Practice address
7567 Central Parke Blvd Ste D
Mason, OH 45040-6852
Phone
(513) 535-3338
NPI assigned
Dec 21, 2005
Last updated
Nov 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002251S OH Primary

Addresses

Primary practice location

7567 Central Parke Blvd Ste D
Mason, OH 45040-6852

Mailing address

2008 Zuni Dr
Lake Waynoka, OH 45171-9272
Phone (513) 535-3338

Other practice location 1

2008 Zuni Dr
Lake Waynoka, OH 45171-9272
Phone (937) 392-0200

Other identifiers 1

IdentifierTypeStateIssuer
0627718MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000731 OH Practitioner - Podiatry 2365428729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002251SOHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelpodiatry Care LLC Podiatrist CurrentSince Aug 15, 2025 Accepting new patients
Advanced Foot Surgeons, Inc. PastSince Jun 16, 2011 Accepting new patients

Locations

599 S Shawnee St
Lima, OH 45804
Phone (319) 227-2154

605 River Rock Blvd
Murfreesboro, TN 37128

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1982680831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 ZUNI DR",
            "city": "LAKE WAYNOKA",
            "state": "OH",
            "postal_code": "451719272",
            "telephone_number": "513-535-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD STE D",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406852",
            "telephone_number": "513-535-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Zuni Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Waynoka",
            "state": "OH",
            "postal_code": "451719272",
            "country_code": "US",
            "telephone_number": "937-392-0200",
            "fax_number": "937-392-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUSSLER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002251S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0627718",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.