Provider Demographics
NPI:1245261783
Name:SLUSS, JAMES ROGER II (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROGER
Last Name:SLUSS
Suffix:II
Gender:
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:PO BOX 880
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0880
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 STONYMEADE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-6690
Practice Address - Country:US
Practice Address - Phone:804-938-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1599982085R0202X
VA01010386772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD013539900Medicaid
VA1245261783Medicaid
P00413951OtherRAILROAD MEDICARE
WV3810008626Medicaid
I04887Medicare UPIN
VA1245261783Medicaid