DR. OTTO J SCHUECKLER (NPI# 1710051792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710051792 |
Entity Type | Individual |
Full Name | DR. OTTO J SCHUECKLER |
Credential | M.D. |
Practice Address |
862 Meinecke Ave Suite 100 San Luis Obispo CA 93405-1721 |
Practice Telephone | 8055414600 |
Practice Fax Number | 8055411564 |
Mailing Telephone | 8055414600 |
Mailing Fax Number | 8055413566 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2010-05-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | A74150 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 036106889 | 05 |
Street Address |
862 MEINECKE AVE SUITE 100 |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93405-1721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871537779 | Central Coast Orthopedic Medical Group | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-06-15 |
1922453877 | James Petrik | Dentist | 862 Meinecke Ave, Suite 203, San Luis Obispo, CA 93405 | 2016-04-28 |
1316323926 | Thomas Pacheco | Dentist | 862 Meinecke Ave, Suite 200, San Luis Obispo, CA 93405-1721 | 2015-08-05 |
1497135800 | Scott E. Adams, Dpm Inc | Durable Medical Equipment & Medical Supplies | 862 Meinecke Ave, Suite 204, San Luis Obispo, CA 93405-1721 | 2015-06-02 |
1871768150 | Nick L. Gunasayan, D.p.m., Inc | Durable Medical Equipment & Medical Supplies | 862 Meinecke Ave, Ste #204, San Luis Obispo, CA 93405-1721 | 2008-04-28 |
1619189255 | Lonnie Bob Lassiter | Dentist | 862 Meinecke Ave, #200, San Luis Obispo, CA 93405-1721 | 2007-05-04 |
1962576959 | Kenneth B Fryer | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
1831262716 | Daniel W Woods | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-16 |
1447338678 | Sean D Devine | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-02 |
1073693586 | Charles E St. Vincent | Physical Therapist | 862 Meinecke Ave, Ste. 101, San Luis Obispo, CA 93405-1721 | 2006-10-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
Find all providers in zip 93405 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306035902 | Larry D Herron Md Inc | Orthopaedic Surgery | 1304 Ella St Ste B, San Luis Obispo, CA 93401-4166 | 2007-10-18 |
1770654378 | Renee Lauritzen Md A Professional Corporation | Orthopaedic Surgery | 1500 Palm St, Suite A, San Luis Obispo, CA 93401-2998 | 2006-11-13 |
1871537779 | Central Coast Orthopedic Medical Group | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-06-15 |
1154870509 | Kenneth L Baldwin M D Inc | Orthopaedic Surgery | 1304 Ella St, Suite B-1, San Luis Obispo, CA 93401-4100 | 2016-09-27 |
1962872770 | Regenerative Orthopedics Institute | Orthopaedic Surgery | 1500 Palm St, Suite A, San Luis Obispo, CA 93401-2998 | 2015-10-06 |
1881936128 | Dimitri Delagrammaticas | Orthopaedic Surgery | 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405-3701 | 2013-03-25 |
1144512435 | Lee J Piatek, Md Inc | Orthopaedic Surgery | 1500 Palm St Ste A, San Luis Obispo, CA 93401-2998 | 2011-05-05 |
1003967423 | Ernest Burton Miller | Orthopaedic Surgery | 620 California Blvd, Suite Q, San Luis Obispo, CA 93401-2541 | 2007-01-13 |
1962576959 | Kenneth B Fryer | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
1831262716 | Daniel W Woods | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-16 |
Find all providers in SAN LUIS OBISPO |
City | SAN LUIS OBISPO |
Zip Code | 93405 |
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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.