Active NPI
Michael Patrick Shusko, MD
- Occupational Medicine Physician
- Houston, TX
National Provider Identifier
1992776082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 200301290
- Practice address
- 1200 Smith St Ste 1050
Houston, TX 77002-4377 - Phone
- (703) 681-5496
- NPI assigned
- Jan 28, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200301290 | NC | |
| Occupational Medicine Physician | 2083X0100X | S7956 | TX | |
| Occupational Medicine Physician | 2083X0100X | 200301290 | NC | Primary |
Addresses
Primary practice location
1200 Smith St Ste 1050
Houston, TX 77002-4377
Mailing address
11803 Primwood Dr
Houston, TX 77070-2354
Phone (857) 288-9851
Other names 1
- Dr. Michael Patrick Shusko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200301290 | NC | MD | Family Medicine Physician |
| S7956 | TX | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1992776082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 PRIMWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770702354",
"telephone_number": "857-288-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SMITH ST STE 1050",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770024377",
"telephone_number": "703-681-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSKO",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200301290",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "S7956",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NC",
"license": "200301290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "SHUSKO",
"middle_name": "PATRICK",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.