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Physician Compare National (NPI:1487644894)

HEALTHCARE PROVIDER: JERI SHUSTER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1487644894
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0143230383
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101027000928
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SHUSTER
Individual professional last name
Provider First Name JERI
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 11085 LITTLE PATUXENT PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 204
Group Practice or individual's line 2 address
City COLUMBIA
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 210442979
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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