Individual
JONATHAN PAIGE KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4340 CLYO RD STE 200, DAYTON, OH 45459
(937) 534-7330
(937) 395-3682
Mailing address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 396-2602
(937) 395-3682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101042378
VA
207R00000X
Internal Medicine Physician
35-081060
OH
207R00000X
Internal Medicine Physician
74853
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0101042378
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
35-081060
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
74853
TN
207RG0100X
Gastroenterology Physician
0101042378
VA
207RG0100X
Gastroenterology Physician
Primary
35-081060
OH
207RG0100X
Gastroenterology Physician
74853
TN
207RG0100X
Gastroenterology Physician
MD0487446C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2333111
—
OH
Enumeration date
04/26/2006
Last updated
10/16/2025
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