KYLE CUSTIS (NPI# 1376574178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 044385 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
129 KINGS HWY N |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-2438 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| Find all providers in WESTPORT | ||||
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| 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.