Provider Demographics
NPI:1558781955
Name:BUSSCHER, JOSHUA JERRETT (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JERRETT
Last Name:BUSSCHER
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:PO BOX 5820
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-5820
Mailing Address - Country:US
Mailing Address - Phone:423-929-2111
Mailing Address - Fax:423-431-0213
Practice Address - Street 1:110 MED TECH PKWY STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-4004
Practice Address - Country:US
Practice Address - Phone:423-929-2111
Practice Address - Fax:423-431-0213
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA080345207W00000X
GA80345207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist