DR. OTTO J SCHUECKLER


Address: 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721
Phone: 8055414600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery A74150 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 036106889 05

Office Location

Street Address 862 MEINECKE AVE
SUITE 100
City SAN LUIS OBISPO
State CA
Zip Code 93405-1721

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City SAN LUIS OBISPO
Zip Code 93405

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Dataset Information

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.

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