DR. JONATHAN D KUSHNER (NPI# 1235146390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235146390 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN D KUSHNER |
| Credential | MD |
| Practice Address |
114 Business Center Dr Reisterstown MD 21136-1229 |
| Mailing Address |
Po Box 62026 Baltimore MD 21264-2026 |
| Practice Telephone | 4108332772 |
| Practice Fax Number | 4105264897 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0033184 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 2002227 | 01 |
| MD | BC/BS OF MD | KF68 / 416513-01 | 01 |
| MD | 430601500 | 05 | |
| MD | BLUE CHOICE | S190 / 0018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295791226 | Jonathan Paige Kushner | Internal Medicine | 4340 Clyo Rd Ste 200, Dayton, OH 45459 | 2006-04-26 |
| Street Address |
114 BUSINESS CENTER DR |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306879531 | Karen L Minor | Nurse Practitioner | 114 Business Center Dr, Reisterstown, MD 21136-1229 | 2006-07-09 |
| 1225646870 | Laura Ward | Nurse Practitioner | 114 Business Center Dr, Reisterstown, MD 21136-1229 | 2020-07-20 |
| 1003200791 | Caitlin Marie Averill | Nurse Practitioner | 114 Business Center Dr, Reisterstown, MD 21136-1229 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| 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 |
|---|---|---|---|---|
| 1003277468 | Wendie Katrina Grader-beck | Internal Medicine | 28 Farm Gate Way, Reisterstown, MD 21136-1125 | 2016-03-14 |
| 1780985283 | Seed Fund | Internal Medicine | 11215 Appaloosa Dr, Reisterstown, MD 21136-6483 | 2010-11-15 |
| 1396071700 | Susan George | Internal Medicine | 100 Owings Ct Ste 12, Reisterstown, MD 21136-6434 | 2009-10-20 |
| 1669659918 | Roseanne Cousins | Internal Medicine | 363 Chamborley Dr, Reisterstown, MD 21136-6151 | 2008-01-29 |
| 1992996631 | Funlola Ibimina Famuyiwa | Internal Medicine | 111 Brookebury Dr, Apt 1b, Reisterstown, MD 21136-2731 | 2007-08-07 |
| 1083766646 | Atlantic Medical Services, LLC | Internal Medicine | 10952 Baskerville Rd, Reisterstown, MD 21136-6406 | 2007-01-16 |
| 1609950146 | Immediate Care Medical Center | Internal Medicine | 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 | 2006-10-24 |
| 1659304871 | Robert Leslie Moss | Internal Medicine | 114 Business Center Drive, Reisterstown, MD 21136 | 2006-07-09 |
| 1356398051 | Claudio Ariel Levin | Internal Medicine | 750 Main St Ste 201, Reisterstown, MD 21136-2516 | 2006-05-28 |
| 1255399432 | Mini Abraham Panikar | Internal Medicine | 750 Main St Ste 205, Reisterstown, MD 21136-2516 | 2006-05-04 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.