KYLE CUSTIS


Address: 129 Kings Hwy N, Westport, CT 06880-2438
Phone: 2032213030

KYLE CUSTIS (NPI# 1376574178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376574178
Entity Type Individual
Full Name KYLE CUSTIS
Credential M.D.
Practice Address 129 Kings Hwy N
Westport
CT 06880-2438
Mailing Address 19 Treadwell Ln
Weston
CT 06883-1949
Practice Telephone 2032213030
Mailing Telephone 2032239167
Enumeration Date 2006-07-06
Last Update Date 2015-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 044385 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 129 KINGS HWY N
City WESTPORT
State CT
Zip Code 06880-2438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487698635 Thomas J Abrahamsen Podiatrist 129 Kings Hwy N, Westport, CT 06880-2438 2006-06-16
1992243174 Judith E Doctor Ophthalmology 129 Kings Hwy N, Westport, CT 06880-2438 2017-02-07
1669710679 Sarah Marie Gomez Psychologist 129 Kings Hwy N, Westport, CT 06880-2438 2013-01-25
1225320385 Martha Odette Lago-wurster Acupuncturist 129 Kings Hwy N, Westport, CT 06880-2438 2011-05-09
1801056510 Claudia P Castiblanco Ophthalmology 129 Kings Hwy N, Westport, CT 06880-2438 2008-06-16
1245405471 Reed Wang Acupuncturist 129 Kings Hwy N, Top Level, Westport, CT 06880-2438 2008-04-29
1790950335 Thomas J. Abrahamsen Podiatrist 129 Kings Hwy N, Westport, CT 06880-2438 2008-04-24
1053599571 Doctor & Associates, PC Ophthalmology 129 Kings Hwy N, Westport, CT 06880-2438 2008-02-06
1942419908 Andrew Samuel Ilowitz Chiropractor 129 Kings Hwy N, Westport, CT 06880-2438 2007-05-22
1780769968 Leslie C Doctor Ophthalmology 129 Kings Hwy N, Westport, CT 06880-2438 2006-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831705573 Meredith Poster Psychologist 6 Rustic Lane, Westport, CT 06880 2020-09-18
1811502867 Zion Pt Ct PC Clinic/Center 1555 Post Road East, Inside Sherpa, Westport, CT 06880 2020-09-15
1013539030 Risa Jill Werner Social Worker 12 Peaceful Lane, Westport, CT 06880 2020-05-13
1588226880 Heather B Bauer Nutritionist 21 Bridge Sqaure, Westport, CT 06880 2019-07-08
1659938603 Kevin Stimmel Physical Therapist 429 Post Rd E, Westport, CT 06880 2019-05-24
1093379307 Jonathan David Geller Social Worker 166 Kings Highway North, Westport, CT 06880 2019-04-23
1942766480 Shevonte M Johnson Adult Companion 100 Casals Apt 19a, Bronx, NY 06880 2019-02-20
1982175014 Denese Marshall LLC Counselor 117 Post Road West, Westport, CT 06880 2018-12-16
1003398298 Joan Frimmer Social Worker 138 Imperial Avenue, Westport, CT 06880 2018-09-04
1053891044 Andree Palmgren Counselor 246 Post Rd East, 2nd Floor, Westport, CT 06880 2018-08-19
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508029323 Louis Mazzella Family Medicine 7 Deepwood Ln, Cottage, Westport, CT 06880-1317 2008-07-02
1184885832 Francis William Mergenthaler Family Medicine 35 Harbor Rd, Xxx, Westport, CT 06880-6711 2008-06-24
1265560049 George Brian Dueber Family Medicine 723 N. Montesano, Westport, WA 98595 2007-03-01
1982786968 Shelly Joyce Dueber Family Medicine 801 N. Montesano, Westport, WA 98595 2006-10-19
1346357340 Anne Fuller Rutherford Family Medicine 9 Old Hill Rd, Westport, CT 06880 2006-08-24
1811952583 Pasqualino Caputo Family Medicine 6097 Nys Route 9n, Westport, NY 12993-2308 2006-04-18
1073502431 Jane M Li Family Medicine 827 American Legion Hwy, Westport, MA 02790-4128 2005-10-18
1770576282 Hood Nadeau LLC Family Medicine 793 Main Rd, Westport, MA 02790-4358 2005-08-30
1922009638 Richard A Singer Family Medicine 728 Post Rd E, Westport, CT 06880-5200 2005-08-03
1790787752 Dennis R Callen Family Medicine 831 Main Rd, Westport, MA 02790-4315 2005-06-02
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Competitor

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City WESTPORT
Zip Code 06880

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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