THOMAS A SHUSTER (NPI# 1295705812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705812 |
| Entity Type | Individual |
| Full Name | THOMAS A SHUSTER |
| Credential | D.O. |
| Practice Address |
600 Health Park Blvd Ste G Grand Blanc MI 48439-2558 |
| Practice Telephone | 8106061660 |
| Practice Fax Number | 8106061655 |
| Mailing Telephone | 8106061660 |
| Mailing Fax Number | 8106061655 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
TS013669 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 114495800 | 05 | |
| MI | COMMUNITY CHOICE | 382237803053 | 01 |
| MI | AETNA | 7013451 | 01 |
| MI | HEALTHPLUS OF MICHIGAN | 0995443 | 01 |
| MI | BC/BS OF MICHIGAN | 0252512045 | 01 |
| MI | MCLAREN HLTH PLAN/ADVANTA | 1008146 | 01 |
| MI | CARE CHOICE HMO | 136403 | 01 |
| MI | GREAT LAKES HLTH PLAN | 143615 | 01 |
| MI | HEALTH ALLIANCE PLAN | H80577 | 01 |
| MI | RAILROAD MEDICARE | P00002373 | 01 |
| MI | PREFERRED CHOICE PPO | 136403 | 01 |
| Street Address |
600 HEALTH PARK BLVD STE G |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226495 | Derek Korte | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2005-12-21 |
| 1760901003 | Health Park Medical Practice PC | Internal Medicine | 600 Health Park Blvd, Suite H, Grand Blanc, MI 48439 | 2017-09-19 |
| 1467832246 | Gwendolyn Wright | Nurse Practitioner | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2015-06-05 |
| 1013229012 | Nicole A Hering | Physician Assistant | 600 Health Park Blvd, Suite G, Grand Blanc, MI 48439-2558 | 2010-07-07 |
| 1831310812 | Reeba Varghese | Physical Therapist | 600 Health Park Blvd, Ste C, Grand Blanc, MI 48439-2556 | 2007-05-01 |
| 1972643146 | Genesys Regional Medical Center | Occupational Therapy Assistant | 600 Health Park Blvd, Ste C, Grand Blanc, MI 48439-2556 | 2007-02-07 |
| 1124130539 | Riad R Dali Ahmad | Internal Medicine | 600 Health Park Blvd, Ste H, Grand Blanc, MI 48439-2558 | 2006-08-31 |
| 1730114448 | Marshall Salvatore Grillo Jr. | Surgery | 600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 | 2006-07-11 |
| 1942239819 | Mark J Minaudo | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2006-07-02 |
| 1982658456 | Flint Gastroenterology Associates PC | Internal Medicine | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1609077395 | Genesys Vascular Services Inc | Surgery | 2620 Genesys Pkwy, Grand Blanc, MI 48439-7326 | 2007-05-30 |
| 1730114448 | Marshall Salvatore Grillo Jr. | Surgery | 600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| 1437383197 | Barbara D'agnoluzzo Moreira | Surgery | 3663 Woodward Ave Ste 200, Wsu Detroit Medical Center, Detroit, MI 48201-2400 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.