Provider Demographics
NPI:1730492141
Name:SCHUSTER, REBECCA A (DO)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:A
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2776
Mailing Address - Country:US
Mailing Address - Phone:814-864-9994
Mailing Address - Fax:814-864-1909
Practice Address - Street 1:310 W UNION ST STE 102
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2312
Practice Address - Country:US
Practice Address - Phone:740-589-3044
Practice Address - Fax:740-589-3045
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT013794207YS0123X
OH34.011833207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0136282Medicaid