Provider Demographics
NPI:1689688871
Name:FUERST, DONALD EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:FUERST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4439 STATE ROUTE 159
Mailing Address - Street 2:SUITE 280
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8207
Mailing Address - Country:US
Mailing Address - Phone:740-779-4370
Mailing Address - Fax:740-779-4379
Practice Address - Street 1:4439 STATE ROUTE 159
Practice Address - Street 2:SUITE 280
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8207
Practice Address - Country:US
Practice Address - Phone:740-779-4370
Practice Address - Fax:740-779-4379
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.046103208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0059562Medicaid
OK100747570AMedicaid
OK100046100AMedicaid
DC3959Medicare PIN
P00705323Medicare PIN
400522488Medicare PIN
OH0059562Medicaid
OK402061Medicare PIN