MARK SHUSTERMAN (NPI# 1073045365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073045365 |
| Entity Type | Individual |
| Full Name | MARK SHUSTERMAN |
| Credential | M.D. |
| Practice Address |
2133 5th Street Boulder CO 80302 |
| Practice Telephone | 3034784797 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0023521 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2133 5TH STREET |
| City | BOULDER |
| State | CO |
| Zip Code | 80302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| 1396150710 | Whitney Kitchell Smith | Dentist | 2700 Canyon Blvd, Ste 210, Boulder, CO 80302 | 2014-06-24 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598168304 | James Reynolds | Internal Medicine | 2855 Lafayette Dr, Boulder, CO 80305-7106 | 2014-10-07 |
| 1790191864 | Steven Schlosser | Internal Medicine | 3080 Pearl Pkwy # D107, Boulder, CO 80301-2461 | 2014-07-09 |
| 1447599592 | Michael Gary Kahn | Internal Medicine | 3980 Greenbriar Blvd, Boulder, CO 80305-7046 | 2013-02-10 |
| 1518087915 | Christopher A Trojanovich | Internal Medicine | 5495 Arapahoe Ave Ste 200, Boulder, CO 80303 | 2007-03-30 |
| 1396872347 | Jeremiah I Kaplan | Internal Medicine | 1985 Bluebell Ave, Boulder, CO 80302-8023 | 2007-02-27 |
| 1083754774 | Christina Hope Brown Bryan | Internal Medicine | Wardenburg Health Ctr, U of Colorado, Boulder, CO 80309-0119 | 2007-02-08 |
| 1023156254 | Bradley D Fanestil | Internal Medicine | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2007-02-01 |
| 1629131974 | Daniel Abram Kinderlehrer | Internal Medicine | 2975 13th St, Boulder, CO 80304-3101 | 2006-12-18 |
| 1750441580 | John S O'hearne | Internal Medicine | 1823 Folsom St, Suite 200, Boulder, CO 80302-5746 | 2006-12-11 |
| 1366547564 | Steven P. Brasch | Internal Medicine | 1630 30th St Ste A, Boulder, CO 80301-1045 | 2006-09-13 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.