MEDICARE: RICHARD J SCHUSTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35069093	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073579413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J SCHUSTER MD

Provider Business Mailing Address
First Line	:	PO BOX 1144
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45401-1144
Country	:	US
Telephone Number	:	937-259-9900
Fax Number	:	937-259-9999

Provider Business Practice Location Address
First Line	:	1 ELIZABETH PL
Second Line	:	SUITE 500
City	:	DAYTON
State	:	OH
Zip	:	45408-1445
Country	:	US
Telephone Number	:	937-443-0354
Fax Number	:	937-443-0478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	11/08/2007

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Directions to “ RICHARD J SCHUSTER MD” Practice Location

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