MEDICARE: THOMAS S SCHUSSLER M.D.

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	01053459A	IN
2	207RG0100X	Gastroenterology Physician	35086075	OH
3	207RG0100X	Gastroenterology Physician	41159	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00839851	OTHER	KY	RAILROAD MEDICARE
4	P00416463	OTHER	KY	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134128143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS S SCHUSSLER M.D.

Provider Business Mailing Address
First Line	:	340 THOMAS MORE PKWY STE 160A
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5101
Country	:	US
Telephone Number	:	859-331-6466
Fax Number	:	859-344-7930

Provider Business Practice Location Address
First Line	:	11104 PARKVIEW CIRCLE DR STE 310
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1733
Country	:	US
Telephone Number	:	260-266-5230
Fax Number	:	260-458-5972

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/09/2026

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Directions to “ THOMAS S SCHUSSLER M.D.” Practice Location

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